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Job Description Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Job Description Company: Schultheis & Panettieri, LLP Position: Audit Manager, Reviewer Job Location: Hauppauge, NY Salary Range: $100,000-$150,000 Looking to work at a firm that encourages a work/life balance? We are a growing midsize CPA firm specializing in the audits of labor unions and their related fringe benefit funds. We have three locations. Our home office is in Hauppauge and we have offices in Iselin, NJ and Floral Park, NY. We are currently looking for a Full- Time or Part-Time experienced Audit Manager focusing on Quality Control. This position requires a CPA license. Responsibilities include: • Detailed review of engagements, • Compliance with GAAP, • Review of tax returns: 990's, LM-2's, 5500's, • Functioning as a Firm resource on the research of technical issues involving complex accounting, auditing, and other regulatory matters, • Preparing position papers and implementation guidance regarding newly issued technical pronouncements, • 10+ years of progressively challenging Public Accounting experience, • Experience with labor unions, multi-employer employee benefit funds preferred but not required, • Ability to research complex accounting and auditing issues, • Time management skills Benefits include: • Medical, Dental, Vision, • Life Insurance, LTD, Flex Spending, • Sick/Vacation time, • 401(k) / PENSION- EMPLOYER CONTRIBUTION OF UP TO A TOTAL OF 15% TO YOUR RETIREMENT!!, • Remote capability, • Flexible work schedule

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims.The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare profe

Board Certified or Board Eligible Medical Doctor with or w/o US residency with current US work visa.

Key Responsibilities Perform retrospective medical necessity reviews to assess appeal eligibility for clinical disputes and denials Construct and document clinical cases to support appeals using medical necessity criteria and relevant clinical facts Demonstrate critical thinking and independent

Render medical necessity determinations for cases assigned. Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary. Review consumer medical docum

A company is looking for a Physician Reviewer.

Sign On Bonus for External Hires! Remote Coder positions are available in the following states: NY, CT, AZ, DE, FL, IN, KS, MA, ME, MI, NC, NH, NJ, PA, SC, TN, TX, and VA Purpose: Accurately code and abstract outpatient medical records for reimbursement and statistical purposes using established c

Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews.If you enjoy sha

The Clinical Research Associate will support clinical research activities within research sites that are actively participating in clinical trials.Under the direction of the Clinical Study Manager(s), the Clinical Research Associate (CRA) will assist with study and site start-up activities by workin

Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise. Independent Medical Exams are available to be completed across the states of Connecticut and New York. Reviews all medical records and addresses each question posed by

Reviews medical records and clinical data with high attention to accuracy and compliance with regulations and standards (e. Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. We are able to treat a wide range of needs everything from addressing poorly cont

Health Plus Management is seeking an energetic, patient-centric and detail-oriented Medical Records Coordinator who will be responsible for creating, retrieving, and updating patient related information according to company policy, to ensure a smooth patient flow for the office. Responsible for pull

Working collaboratively as a member of a multidisciplinary treatment team, the Patient Observer works under the direction of a Registered Nurse, participating in carrying out nursing interventions to provide patients with opportunities for learning adaptive ways of coping.The Patient Observer works

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. Durchführung von regionalen Medical Education Aktivitäten sowie Erstellung und Präsentation von Fachvorträgen.

High school graduate with medical billing experience. Electronic Medical Records experience, preferably Epic.

This is the job title and description provided.If there is no job description, only the job title is printed.

Knowledge of medical terminology desirable.

Available Locations: Bridgeport & Fairfield, CT.Job Duration: 3+ months (Possible extension/ Temp to Hire).Shift: Monday - Friday 8am to 5pm / Every other Saturday.The Patient Services Representative represents the face of our company to patients who come in, both as part of their health routine or

APRNs, PAs, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process. Provides exceptional patient care in collaboration with anesthesiologists, surgeons and other physicians to deliver anesthesia for medical a

Manages medical writing activities associated with individual studies, coordinating medical writing activities within and across departments with minimal supervision. Interacts and builds good working relations with clients, department head, and peers in data management, biostatistics, regulatory af

This may include delivering medical equipment and supplies to patients in a timely and professional manner and teaching the patient how to use and maintain their equipment; initiating verification of patient insurance benefits; communicating the patient's financial responsibility to the patient, and

Nuvance Health is a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital, and Sharon Hospital in Connecticut and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York - plus multiple primary an

Non-Invasive Cardiology, Cardiologist, Medical Doctor, Board Certified, Long Island, Partnership Opportunity, Patient Care, Healthcare, Oceanfront, Competitive Salary. Basic job requirements: Physician with MD/DO degree; Board Certified or truly Board Eligible with a valid medical license.

Completion of a medical degree (M.

Generous Benefits: Medical, Dental, Vision, Retirement, 401K, Life Insurance ETC. Palliative Medicine, Hospice Care, Oncology, Cancer Center, Patient Care, Medical Education, Fellowship Training, Transdisciplinary Team, Program Development, Quality of Life. The role involves delivering palliative me

Surgery - Plastic Physician at RecruitWell summary:.We are seeking a Board Certified or Eligible Plastic Surgeon to join our established practice in Long Island, New York.The ideal candidate will have expertise in cosmetic surgery, microvascular hand surgery, and breast cancer reconstruction, and wi

Plastic Surgery, Board Certified, Patient Care, Surgical Skills, Healthcare, East Northport, Medical Practice, Healthcare Professional, Patient Safety, Consultation. Medical license in the state of New York (or ability to obtain licensure).

Duties include overseeing all aspects of cardiac care delivered to referred patients and participating in daily ambulatory/outpatient Cardiology clinic services at our Northport VA Healthcare Systems VA Medical Center. Total value of forgiveness can be up to $200k of your federal medical student loa

A health-tech enterprise is seeking to hire a team member for their Prior Authorization team based in Pittsburgh, PA.In this fully onsite role, you'll assist with initiating and managing prior authorization requests, coordinating with providers and patients, and ensuring seamless communication throu

The Medical Assistant's responsibilities focus on providing direct clinical support and ensuring the efficient flow of patient care:. Maintain accurate patient medical records and assist with administrative tasks as assigned. Certification: Must be a Certified Medical Assistant with a current certif

The staff member plays an integral role in the medical care team as the access point for patients to receive care.

Competitive annual salary with a sign-on bonus, paid relocation and full benefits including medical, dental, vision, CME and Malpractice.

The staff member plays an integral role in the medical care team as the access point for patients to receive care.

Together with the Medical Development Lead (MDL), the CODL co-leads the Clinical Development Team (CDT) and co-owns the Clinical Development Plan (CDP).

Comfortable with Electronic Medical Record (EMR) system and Microsoft Office. Continuing Medical Education (CME) Reimbursement. Medical/Dental/Vision Health Insurance.

Our doctors and staff are committed to providing the highest level of quality medical services available. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and

Medical terminology knowledge and recent medical/radiology office experience is preferred. Comprehensive Medical, Dental and Vision coverages.

Reviewing schedules daily to ensure accuracy and maximizing available appointment slots; obtaining medical releases as needed for patient requested forms; registering patients via phone or in person.

Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and

The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies.

May enter telephone encounters into the electronic medical record (EMR) system through the use of the appropriate Epic Smart Text. Ensures all documents are appropriately documented and maintained in the electronic medical record; scanning op reports, test results, home care and any other forms. May

Pioneering trusted medical solutions to improve the lives we touch:. Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care.

Provide after-hours and weekend on-call medical telephone consult on a rotating basis. Provide coverage of primary medical care for people living in a Comprehensive Adult Transitional Home if required, when the assigned provider is not available. Provide medical expertise to Family Care Program and

Provide short-term urgently needed prescription renewals when a community medical provider may be unavailable. Additional Requirements:• Provide after-hours and weekend on-call medical telephone consult on a rotating basis. Provide coverage of primary medical care for people living in a Comprehens

Nuvance Health - 400 - Western CT Home Care Inc.GetMed Staffing is searching for a strong Physical Therapist-Home Health to assist our traveler-friendly client.A minimum of 1-2 years of experience is required.Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, b

Innovation and Discovery: Opportunities to contribute to cutting-edge research and potential breakthroughs in medical science. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions

Maintains biomedical equipment according to laboratory policy. Desired: Graduate of Medical Technology Program.