Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ...
Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ...
Strong understanding of California Board of Pharmacy regulations and CMS/Joint Commission standards ... Our pharmacists deliver 24/7 remote and on-site support--including chart reviews, medication room ...
Quick apply
Strong understanding of California Board of Pharmacy regulations and CMS/Joint Commission standards ... Our pharmacists deliver 24/7 remote and on-site support--including chart reviews, medication room ...
Strong understanding of California Board of Pharmacy regulations and CMS/Joint Commission standards ... Our pharmacists deliver 24/7 remote and on-site support--including chart reviews, medication room ...
Quick apply
Strong understanding of California Board of Pharmacy regulations and CMS/Joint Commission standards ... Our pharmacists deliver 24/7 remote and on-site support--including chart reviews, medication room ...
Chart Analyst - SCH
Los Angeles, CA · On-site
... insurance. Primary Duties: * Utilize and/or develop standardized quality assurance tools for the systematic review of services to meet contractual guidelines. * Monitor clinical documentation ...
Chart Analyst - SCH
Los Angeles, CA · On-site
... insurance. Primary Duties: * Utilize and/or develop standardized quality assurance tools for the systematic review of services to meet contractual guidelines. * Monitor clinical documentation ...
HEDIS Chart Retrieval Nurse
Pittsburgh, PA · Remote
$29.25 - $38.75/hr
You will coordinate record retrieval, review incoming records for completeness, upload ... This contract does not include health insurance, paid time off, paid holidays, or other employee ...
HEDIS Chart Retrieval Nurse
Pittsburgh, PA · Remote
$29.25 - $38.75/hr
You will coordinate record retrieval, review incoming records for completeness, upload ... This contract does not include health insurance, paid time off, paid holidays, or other employee ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance ...
Utilization Reviewer
Lawrence, KS · On-site
$65K - $70K/yr
... insurance, an Employee Assistance Program (EAP) providing free counseling and resources, and ... Provide chart review results to program directors or managers with both aggregate program data and ...
Utilization Reviewer
Lawrence, KS · On-site
$65K - $70K/yr
... insurance, an Employee Assistance Program (EAP) providing free counseling and resources, and ... Provide chart review results to program directors or managers with both aggregate program data and ...
Medical Review RN
Washington, DC · On-site
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... Must possess reliable transportation, have a clean driving record, and current automobile insurance.
Medical Review RN
Washington, DC · On-site
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... Must possess reliable transportation, have a clean driving record, and current automobile insurance.
Medical Review RN
Washington, DC · On-site
$45/hr
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... Must possess reliable transportation, have a clean driving record, and current automobile insurance.
Medical Review RN
Washington, DC · On-site
$45/hr
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... Must possess reliable transportation, have a clean driving record, and current automobile insurance.
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... Must possessreliable transportation, have a clean driving record, and current automobile insurance.
LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... Must possessreliable transportation, have a clean driving record, and current automobile insurance.
Clinical Quality Specialist - Canton Medical Center - Full Time
Canton, SD · On-site
$35.25 - $47/hr
Will complete chart reviews, documentation of findings, referral for medical director review and ... Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in ...
Clinical Quality Specialist - Canton Medical Center - Full Time
Canton, SD · On-site
$35.25 - $47/hr
Will complete chart reviews, documentation of findings, referral for medical director review and ... Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in ...
Clinical Quality Specialist - Canton Medical Center - Full Time
Canton, SD · On-site
$35.25 - $47/hr
Will complete chart reviews, documentation of findings, referral for medical director review and ... Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in ...
Clinical Quality Specialist - Canton Medical Center - Full Time
Canton, SD · On-site
$35.25 - $47/hr
Will complete chart reviews, documentation of findings, referral for medical director review and ... Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in ...
PHYSICAL THERAPIST I NB
$1.7K - $2.3K/wk
It is a Joint Commission-certified Primary Stroke Center, and has achieved an "A" Hospital Safety ... Feedback, Chart Review, Observation. * Assessment: Accurately identifies patient's functional ...
PHYSICAL THERAPIST I NB
$1.7K - $2.3K/wk
It is a Joint Commission-certified Primary Stroke Center, and has achieved an "A" Hospital Safety ... Feedback, Chart Review, Observation. * Assessment: Accurately identifies patient's functional ...
This opportunity allows you to engage in meaningful work while enjoying great benefits: - **10% chart review** - **Monthly stipend** - **Medical malpractice insurance provided** We're looking for ...
This opportunity allows you to engage in meaningful work while enjoying great benefits: - **10% chart review** - **Monthly stipend** - **Medical malpractice insurance provided** We're looking for ...
PHYSICAL THERAPIST I NB
San Luis Obispo, CA · On-site
$1.8K - $2.4K/wk
It is a Joint Commission-certified Primary Stroke Center, and has achieved an "A" Hospital Safety ... Feedback, Chart Review, Observation. * Assessment: Accurately identifies patient's functional ...
PHYSICAL THERAPIST I NB
San Luis Obispo, CA · On-site
$1.8K - $2.4K/wk
It is a Joint Commission-certified Primary Stroke Center, and has achieved an "A" Hospital Safety ... Feedback, Chart Review, Observation. * Assessment: Accurately identifies patient's functional ...
Commission Insurance Chart Review information
See salary details
$23.5K - $30.2K
4% of jobs
$30.2K - $37K
12% of jobs
$40.9K is the 25th percentile. Wages below this are outliers.
$37K - $43.7K
16% of jobs
$43.7K - $50.4K
15% of jobs
The median wage is $52.4K / yr.
$50.4K - $57.1K
13% of jobs
$57.1K - $63.9K
9% of jobs
$63.9K - $70.6K
6% of jobs
$71K is the 75th percentile. Wages above this are outliers.
$70.6K - $77.3K
4% of jobs
$77.3K - $84K
6% of jobs
$84K - $90.8K
7% of jobs
$90.8K - $97.5K
7% of jobs
$23.5K
$59.1K
$97.5K
How much do commission insurance chart review jobs pay per year?
What is the difference between Commission Insurance Chart Review vs Insurance Claims Processor?
| Aspect | Commission Insurance Chart Review | Insurance Claims Processor |
|---|---|---|
| Required Credentials | Insurance or healthcare certifications, familiarity with insurance policies | Basic insurance knowledge, often with claims processing training |
| Work Environment | Healthcare offices, insurance companies, remote options | Insurance companies, claims centers, remote work possible |
| Employer & Industry Usage | Insurance providers, healthcare organizations | Insurance companies, third-party claims firms |
| Common Search & Comparison Intent | Understanding chart review roles, insurance analysis | Claims processing tasks, insurance claim handling |
Commission Insurance Chart Review involves analyzing insurance charts for accuracy and compliance, often requiring specialized insurance or healthcare certifications. Insurance Claims Processors handle claims submissions and follow-up, typically with basic insurance knowledge. While both roles work within the insurance industry and may share remote work options, they focus on different aspects of insurance administration. Understanding these differences helps job seekers find roles aligned with their skills and career goals.
What cities are hiring for Commission Insurance Chart Review jobs?
Cities with the most Commission Insurance Chart Review job openings:
What are the most commonly searched types of Insurance Chart Review jobs?
The most popular types of Insurance Chart Review jobs are:
What states have the most Commission Insurance Chart Review jobs?
States with the most job openings for Commission Insurance Chart Review jobs include:
Other
Medical, Dental, Vision, Retirement, PTO
Posted 28 days ago
Job description
Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you'll be empowered to make a difference in the lives of patients by improving the quality of healthcare nationwide.
This is a Full-Time 40 hours a week position
No Call, evening or weekend work
Work in the comfort of your home 9am -5pm Monday to Friday
Excellent compensation, bonus and benefits provided
100% Work at Home with full-time and part-time opportunities available
Job Description:
- Use your analytical mindset. Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria. Review appeals for denied services related to relevant medical experience and our evidence based guidelines, in accordance with appeal policies, if so delegated.
- Be a team player. Work collaboratively with over 500+ Physician Peers to help ensure patients receive proper care via evidence based decision making. Provide timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
About the GI program:
-
- Cutting edge. Continue learning and growing with the latest and greatest literature and guidelines in Gastroenterology.
- Impact patient care nationally. The organization has one the largest Gastroenterology Prior Authorization program in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones
Ideal candidate is offered:
- Competitive base salary with benefits
- Predictable work schedules
- 100% Work at Home with part-time & full-time opportunities available
- Health coverage effective day 1 (including medical, dental, vision)
- 8 Paid Holidays plus 23 PTO Days
- 401K with company match.
- CME Reimbursement
Qualifications Required:
- M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA)
- Recent practice experience in direct patient care (within the past 18 months)
- Must have a minimum of 5 years clinical experience, beyond residency/fellowship
- Knowledge of applicable state and federal laws. Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) standards a plus
- The ability to commit to a set, weekly work schedule (Monday through Friday)
- Strong computer skills; ability to work autonomously with automated processes and computer applications and systems is required
Prefer Full-time, however, we will consider PT. Must be able to commit to 3 weeks of Training Full-time.
About She Recruits
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
1 - 10 Employees
Headquarters location
DeSoto, TX, US