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Lucet
Overview
The Behavioral Health Physician Reviewer conducts clinical utilization reviews to ensure services are appropriate and evidence-based. They also engage in peer-to-peer discussions with providers to maintain quality standards and regulatory compliance.
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Compensation
$150 - $175 / HOUR
Posted
1 month ago
Altru Health System
The Cardiac Device Technician remotely completes device analysis and rhythm interpretation, communicating findings to the physician and arranging ongoing monitoring services for patients with implantable cardiac devices. This role involves tracking patterns, compiling reports, ensuring accurate charging, and collaborating with nurses on documentation and scheduling follow-up appointments.
$29 - $44 / HOUR
2 months ago
Dane Street, LLC
The physician reviewer utilizes clinical expertise to review insurance appeals, prospective, and retrospective claims, interpreting medical necessity in compliance with client policies and evidence-based guidelines. Major duties include reviewing all medical records, ensuring clear rationale for determinations, and utilizing current criteria from national, state, and professional association guidelines.
Salary not listed
Trinity Health
The role involves performing inpatient, outpatient, and emergency echocardiograms using ultrasound diagnostic equipment to generate heart structure pictures and measurements. Responsibilities also include completing all necessary patient charting, billing, and assisting physicians during specialized procedures like transesophageal and stress echoes.
3 months ago
Federal Hearings And Appeals
Responsible for reviewing medical case files and making medical determinations. This includes analyzing Federal and State laws, regulations, and applicable policy guides.
4 months ago
