Telemedicine Physician Advisor for Medical Necessity Reviews

General Surgery Physician AdvisorDane Street is expanding its physician panel and seeks a board-certified general surgeon physician advisor to provide expert medical opinions for independent medical exams. As a remote opportunity, this position offers flexible scheduling and predictable work hours.The ideal candidate will hold a Delaware State Medical...

Job OverviewA Medical Necessity Specialist is needed to review and analyze clinical medical necessity and level of care appeals for denials related to external audits by government and third-party payors. This role will actively manage, maintain, and communicate all levels of denial and appeal activity to appropriate stakeholders.Salary Range$36.35 - $54.53...

Independent Medical Exam (IME) PhysicianDane Street LLC invites applications from board-certified general surgeons for a part-time physician advisor position. As an IME physician, you will provide expert medical opinions for insurance appeals and claims reviews.The ideal candidate will possess a Delaware State Medical License, board certification in general...

Remote Physician OpportunityWe are seeking a board-certified general surgeon physician advisor to provide expert medical opinions for independent medical exams. As a telehealth medical advisor, you will review insurance appeals and claims, ensuring that services are medically necessary and in compliance with client-specific policies and national...

Job Title: Nephrology Physician SpecialistThe esteemed Triple West Medical is seeking a highly skilled Nephrology Physician Specialist to join their prestigious team. As a key member, you will be responsible for providing exceptional care and treatment to patients with renal diseases.About the Role:In this challenging yet rewarding position, you will work...

Join Our TeamWe're seeking a Clinical Appeals Coordinator to join our team! As a key member of our Utilization Review department, you will be responsible for reviewing and analyzing clinical medical necessity and level of care appeals for denials related to external audits by government and third-party payors. Your expertise will help us identify areas for...

We are seeking a highly skilled Stroke Medicine Specialist to join our esteemed team at Triple West Medical. As a Consultant in Neurological Care, you will be responsible for delivering exceptional patient care and contributing to the development of our Stroke Department.The successful candidate will have a strong background in Neurology and a passion for...

The Triple West Medical organization is committed to delivering exceptional healthcare services. We are currently seeking a highly skilled Nephrology Physician Specialist to join our team. This role presents a unique opportunity to make a significant impact in the lives of patients suffering from renal diseases. Key Responsibilities:As a Nephrology Physician...

Job OverviewWe are seeking a highly skilled Medical Referral Coordinator to join our team at Intermountain Healthcare. As a key member of our patient access department, you will play a critical role in coordinating medical needs of patients between medical offices.About the RoleThis position is responsible for obtaining referral requests from physicians,...

Nephrology Physician SpecialistA challenging and rewarding career opportunity has arisen at Triple West Medical for a Nephrology Physician Specialist. In this role, you will work closely with the medical team to deliver high-quality patient care and treatment. About the Team:Our team consists of experienced healthcare professionals who are passionate about...

Job Summary:As a Clinical Audit Specialist at Intermountain Healthcare, you will play a critical role in reviewing and analyzing medical records to ensure the clinical medical necessity of care appeals. With three years of experience in utilization review or care management, hospital insurance billing, third-party claim audits, or auditing in a healthcare...

Company OverviewTriple West Medical is a leading NHS Teaching Hospital in the UK, known for its innovative approach to healthcare.We are seeking a highly skilled Specialty Doctor Urologist to join our successful Urology Department on either a Substantive or an NHS Fixed Term basis for 12 months.Salary and BenefitsThe estimated annual salary for this position...

Job Opportunity: We are excited to announce a job opening for a Clinical Reviewer for External Audits at Intermountain Healthcare. As a key member of our team, you will be responsible for reviewing medical records and communicating with stakeholders to support appeals.About the Position:The ideal candidate will have a strong understanding of federal...

Lynx Therapeutics is a leading specialty healthcare company with a focus on five innovative segments of the U.S. pharmaceutical market. We're looking for a Medical Representative - Branded Products to join our field-based team.The ideal candidate will develop a partnership selling style by utilizing promotional literature and selling tools to effectively...

Job DescriptionWe are seeking a skilled Pharmacy Technician to join our team at Intermountain Healthcare. As a Pharmacy Technician, you will play a critical role in supporting our healthcare team by processing medication electronic prior authorization requests, troubleshooting coverage issues, and communicating ePA results to patients and stakeholders. This...

Job OverviewAs a Medical Office Coordinator at Intermountain Healthcare, you will play a vital role in ensuring timely and accurate billing, follow-up, and resolution of payment issues related to patient accounts. This position requires strong communication and organizational skills to coordinate patient encounters and manage multiple system applications.Key...

Job SummaryWe are seeking an experienced Pharmacy Technician to join our team at Intermountain Healthcare. In this role, you will process medication electronic prior authorization requests, troubleshoot coverage issues, and communicate ePA results to patients and stakeholders. This is a full-time remote position that requires living in Colorado or Montana....

Job Summary: We are seeking a talented Clinical Reviewer for External Audits to join our team at Intermountain Healthcare. In this role, you will be responsible for reviewing medical records and communicating with stakeholders to support appeals.About Us:As a leading healthcare organization, we value our caregivers' well-being – mind, body, and spirit –...

About the Role:Intermountain Healthcare seeks a detail-oriented and organized individual to serve as a Physician Payroll Analyst. This role is responsible for administering physician payroll practices and processes, ensuring timely and accurate payment of physician payroll.This is a 100% remote position; however, candidates residing in California, Hawaii,...

About the PositionWe are seeking a Patient Access and Referral Specialist to join our team at Intermountain Healthcare. This role requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.Key ResponsibilitiesCoordinates patient referrals between medical offices.Reviews patient information and...