Physician ED Claims Reviewer

Remote • Posted 5 hours ago • Updated 34 minutes ago
Full Time
No Travel Required
Remote
Depends on Experience
Fitment

Dice Job Match Score™

⏳ Almost there, hang tight...

Job Details

Skills

  • Physician

Summary

Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity.

Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered. Experience in  managed care, clinical UM case reviews. Knowledge of claims and medical coding (CPT/HCPCS codes). Proficient working in various systems and applications.

Desired skills: Experience/knowledge in utilization management is a plus. Ability to work independently in a fast paced environment.

• Strong Agile experience: user story development, requirements gathering, and portfolio management

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10354711
  • Position Id: 9045315
  • Posted 5 hours ago
Contact the job poster
Praveen Palavalasa

Praveen Palavalasa

Lead Talent Acquisition @ SRI Tech Solutions
Create job alert
Set job alertNever miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Remote

Today

Easy Apply

Full-time

Depends on Experience

Remote or Minnesota

Today

Full-time, Contract

USD100000.0/ANNUAL - USD105000.0/ANNUAL

Remote

Today

Easy Apply

Third Party, Contract

Depends on Experience

Remote

Today

Easy Apply

Contract

Depends on Experience

Search all similar jobs