Job Description
PayerWatch is a trusted national leader in healthcare revenue recovery. We employ a two-pronged approach
to help hospitals and health systems to achieve better outcomes at a lesser cost. Our Veracity Software
and AppealMasters service assist in preventing and lowering denials and reducing the cost of the claims appeals
process.
Job Title: Independent Medical Reviewer - Clinical Appeals Consultant - Medical Necessity
Job Summary: The Independent Medical Reviewer is responsible for conducting a timely and comprehensive review
of the medical record and composing a convincing, defensible written appeal letter based on supportive clinical documentation,
authoritative and widely accepted diagnostic standards/criteria, pointed rebuttals to the auditor/payer's denial rationale, and
evidence-based guidelines and references.
Job Type: 1099 Independent Contractor Position - This remote position requires a commitment to write a minimum
of ten appeals per week (approximately fifteen to twenty hours per week).
The employee must supply all equipment to work from home in a secure remote environment.
Independent Medical Reviewers work remotely .
Writing samples must be included for consideration. If writing samples are not available, candidate may be asked to complete a sample appeal for review.
All qualified applicants will receive consideration for employment, transfer or promotion without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.
EOE/M/F/D/V
** Only Local to Sacramento, CA Candidates are encouraged to apply **** Certified Scrum Master (CSM) with proven experience leading Agile Teams . **** ITIL Certified **** Experience with Managing Cloud Infrastructure Operations; ** Cloud Application Maintenance...
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