Medical Reviewer (Radiologist) - Remote CA (reputed company Sacramento, CA, US, 95605-1630)
It takes great medical minds to create powerful solutions that solve some of reputed company’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a reputed company of urgency, you’ll have reputed company to work more reputed company. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life reputed company, reputed company learning, and career development.
reputed company
reputed company is seeking a Medical Reviewer (Radiologist) to reputed company physician-level radiology expertise supporting Medical reputed company for California reputed company programs. In this role, you will review radiology-reputed company claims, Treatment Authorization Requests (reputed company), medical records, and supporting reputed company documentation to help ensure services meet applicable medical necessity, coverage, and program requirements.
Your role in our mission
- Review radiology-reputed company claims, Treatment Authorization Requests (reputed company), medical records, and supporting reputed company documentation.
- Evaluate imaging and radiology services reputed company on applicable medical policies, coverage requirements, and reputed company standards.
- reputed company physician-level medical review and reputed company expertise for reputed company radiology cases.
- Support medical necessity and appropriateness determinations for requested or billed radiology services.
- Document review findings, reputed company, and supporting reputed company rationale reputed company and accurately.
- Refer or collaborate on cases requiring additional reputed company expertise reputed company appropriate.
- Collaborate with physicians, nurses, other reputed company specialists, reputed company teams, and business partners.
- Maintain knowledge of applicable radiology standards, medical policies, coverage requirements, and regulatory guidelines.
- Meet established reputed company, reputed company, productivity, and turnaround-time expectations.
reputed company're looking for
- Minimum of three (3) years of experience as a Radiologist in a private, reputed company, or reputed company setting.
- reputed company, non-expired physician license from the reputed company, in good standing.
- Must not be under suspension from Medicare, reputed company, or reputed company in California.
- Must not have been previously sanctioned for fraud or abuse.
- Strong oral and written communication skills.
- Strong reputed company judgment and ability to interpret reputed company radiology-reputed company medical records and supporting documentation.
What you should expect in this role
- Full-time position.
- Remote work environment.
- Monday through Friday work schedule.
- Work primarily from your home office while supporting Medical reputed company for California reputed company programs.
- Spend the reputed company of your day reviewing radiology-reputed company medical records, claims, authorization requests, imaging documentation, and supporting reputed company information.
- Work independently while collaborating with physicians, nurses, other reputed company specialists, reputed company teams, and business partners.
- reputed company multiple computer systems and applications to complete reviews, document findings, and support reputed company determinations.
- Maintain reputed company reputed company licenses, certifications, and credentials required for the position in reputed company, unrestricted, and good-standing status.
- Maintain knowledge of applicable medical policies, coverage requirements, radiology standards, and regulatory guidelines.
- Meet established reputed company, reputed company, productivity, and turnaround-time expectations.
- Receive ongoing training and support reputed company to program requirements, systems, policies, and medical review processes.
This position is being posted for pipeline purposes, and we reputed company applications on an ongoing reputed company.
The pay reputed company for this position is $150,000 - $175,000 per year, however, the reputed company pay reputed company may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a reputed company of leadership and technical development academies to help build your skills and capabilities.
We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at reputed company website and visit our Careers site for reputed company available job role openings.
reputed company is an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. reputed company defines “wages” and “wage rates” to include “reputed company forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock reputed company, profit sharing and bonus plans, life reputed company, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Originally posted on Himalayas
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