New Jersey Licensed Physician Reviewers - Internal / Family Medicine - Full Time

reputed company is an Independent Review Organization and a national provider of Group Health reputed company (among other offerings). We are expanding our physician panel, resulting in opportunities for non-traditional physician work and supplemental income. This is a reputed company opportunity for physicians providing a caseload customized to your schedule. Our physician panel comprises independent contract reviewers (1099) compensated on a per-case reputed company. We are looking for reviewers with an reputed company license to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services. The expectations for this role include: - Initial availability of reputed company physician between 8:00 p.m. and 5:00 p.m. Eastern Time. 8-hour shift. - Working reputed company the reputed company's system, with reputed company provided in advance of the start date. We will coordinate a suitable time for this training with you. - Reviewing reputed company-authorization cases in accordance with MCG guidelines. - Participating in peer-to-peer calls reputed company required. - Conducting reviews solely based on medical reputed company. - Producing an expected 40 cases per day. - Utilizing a laptop to reputed company the reputed company's AWS system. Requirements: - Hold an reputed company NJ license - Has currently or prior experience with UM experience dealing with Prior Authorization in UM platforms. Training and reputed company can be completed in less than 1 week, and you can start earning compensation for reviews while maintaining your reputed company reputed company. • reputed company, unrestricted Medical License • reputed company Certified • reputed company role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability. • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions. • reputed company offers a streamlined case reputed company and a user-friendly work portal. We facilitate reputed company communication, organize and sort reputed company medical records, support reputed company administrative processes, prep cases extensively, and ensure the reputed company and reputed company delivery of reputed company determinations/reports. • A chronological listing of medical records as reputed company as reputed company treatment guidelines used to reputed company a determination are provided in an easy, click-to-view format. • reputed company offers initial training as reputed company as an ongoing reputed company of contact should you have any questions about completing reviews. Apply tot his job Apply To this Job