Spine Medical Review Stream Physician
Listed on 2026-01-24
-
Doctor/Physician
Medical Doctor, Emergency Medicine Physician
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Overview
Are you an accomplished
- General Surgery
- Orthopedic Surgery with hand or spine specialty
- Physical Medicine & Rehabilitation
- Plastic Surgery
- Podiatrist
Overview
Are you a Board Certified physician in one of the below specialties? Preferred candidates will have a LA license.
- General Surgery
- Neurologist
- Orthopedic Surgery with hand or spine specialty
- Physical Medicine & Rehabilitation
- Plastic Surgery
- Podiatrist
Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical review stream division. This telecommute role offers you the flexibility to customize your schedule and caseload within a Monday - Friday work week and during business hours. You will be compensated on a per case basis as a 1099 independent contractor.
Job Summary
Based on your clinical background, you will review health claims, providing medical interpretation and decisions regarding the appropriateness of services provided by other healthcare professionals, in compliance with Concentra Physician Review policies, procedures, and standards, as well as URAAC guidelines and state regulations.
Responsibilities
Major duties include:
Qualifications
- Board-certified MD or DO with an understanding of network services, managed care, utilization, and credentialing.
- Current, unrestricted clinical license(s); if restricted, ensure job functions do not violate restrictions.
- Board certification by ABMS or AOBOS is required for MD or DO reviewers.
- Active medical practice experience is necessary to perform appeals.
Experience & Skills
- Post-graduate experience in direct patient care.
- Proficiency in computer and telephonic communication.
- Ability to perform review services and collaborate with various healthcare professionals.
- Must have current error and omissions liability insurance.
- Knowledge of managed care and current specialty standards.
- Strong negotiation and communication skills.
Working Conditions
- Access to a phone and computer.
- Ability to complete reviews and reports within specified time frames.
- Participation in telephonic conferences.
This role involves handling confidential information, requiring discretion and secure data management.
Concentra is an Equal Opportunity Employer M/F/Disability/Veteran.
Concentra's Data Protection Commitment includes safeguarding patient data and adhering to privacy principles. Role-specific policies apply for those handling sensitive information.
This position is an independent contractor role.
Concentra is an Equal Opportunity Employer, including for disability and veterans.
Seniority level- Mid-Senior level
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