Physician Reviewer
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Preferred Qualification: 10 years clinical experience; experience with ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Preferred Qualification: 10 years clinical experience; experience with ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Preferred Qualification: 10 years clinical experience; experience with ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Preferred Qualification * 10 years clinical experience; experience with ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Preferred Qualification * 10 years clinical experience; experience with ...
Dallas, TX · On-site
The role supports property teams by reviewing resident files, maintaining program accuracy, preparing reports, and providing guidance on compliance procedures. This position works closely with the ...
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Dallas, TX · On-site
The role supports property teams by reviewing resident files, maintaining program accuracy, preparing reports, and providing guidance on compliance procedures. This position works closely with the ...
Dallas, TX · On-site
The role supports property teams by reviewing resident files, maintaining program accuracy, preparing reports, and providing guidance on compliance procedures. This position works closely with the ...
Dallas, TX · On-site
The role supports property teams by reviewing resident files, maintaining program accuracy, preparing reports, and providing guidance on compliance procedures. This position works closely with the ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Required Qualification(s): * Board Certification in a Medical Specialty ...
Richardson, TX · On-site
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Required Qualification(s): * Board Certification in a Medical Specialty ...
This role independently reviews and approves applicant, move-in, and recertification files to program and company standards, remediates non-compliant files, and helps bring properties back into full ...
This role independently reviews and approves applicant, move-in, and recertification files to program and company standards, remediates non-compliant files, and helps bring properties back into full ...
Administer electronic file reviews, audits, and approvals in accordance with current affordable housing compliance requirements and company policies under LIHTC, Tax Exempt Bond, HOME, and other ...
Administer electronic file reviews, audits, and approvals in accordance with current affordable housing compliance requirements and company policies under LIHTC, Tax Exempt Bond, HOME, and other ...
Richardson, TX · On-site
Review each closing file to verify documents are present, accurate, accurately calculated, compliant and sufficiently complete for closing. Ensure closing conditions have been met. * Communication ...
Richardson, TX · On-site
Review each closing file to verify documents are present, accurate, accurately calculated, compliant and sufficiently complete for closing. Ensure closing conditions have been met. * Communication ...
Denton, TX · On-site
The Job File Coordinator will also review the scope, estimate, and job file documentation to ensure all program requirements are met and all work performed is accurately invoiced. · Monitor job file ...
Denton, TX · On-site
The Job File Coordinator will also review the scope, estimate, and job file documentation to ensure all program requirements are met and all work performed is accurately invoiced. · Monitor job file ...
Richardson, TX · On-site
Review each closing file to verify documents are present, accurate, accurately calculated, compliant and sufficiently complete for closing. Ensure closing conditions have been met. * Communication ...
Richardson, TX · On-site
Review each closing file to verify documents are present, accurate, accurately calculated, compliant and sufficiently complete for closing. Ensure closing conditions have been met. * Communication ...
Denton, TX · On-site
The Job File Coordinator will also review the scope, estimate, and job file documentation to ensure all program requirements are met and all work performed is accurately invoiced. · Monitor job file ...
Denton, TX · On-site
The Job File Coordinator will also review the scope, estimate, and job file documentation to ensure all program requirements are met and all work performed is accurately invoiced. · Monitor job file ...
Irving, TX · On-site
$36K - $50K/yr
Create a needs list that documents the review findings and preliminary documentation required to generate an initial credit decision within 24 hours after file assignment * Is the single point of ...
Irving, TX · On-site
$36K - $50K/yr
Create a needs list that documents the review findings and preliminary documentation required to generate an initial credit decision within 24 hours after file assignment * Is the single point of ...
Irving, TX · On-site
$38K - $52K/yr
Create a needs list that documents the review findings and preliminary documentation required to generate an initial credit decision within 24 hours after file assignment * Is the single point of ...
Irving, TX · On-site
$38K - $52K/yr
Create a needs list that documents the review findings and preliminary documentation required to generate an initial credit decision within 24 hours after file assignment * Is the single point of ...
Denton, TX · On-site
$17 - $22.50/hr
The Job File Coordinator will also review the scope, estimate, and job file documentation to ensure all program requirements are met and all work performed is accurately invoiced. Primary ...
Denton, TX · On-site
$17 - $22.50/hr
The Job File Coordinator will also review the scope, estimate, and job file documentation to ensure all program requirements are met and all work performed is accurately invoiced. Primary ...
Mckinney, TX · On-site
Reviews patient medical records and other resources, as needed, to obtain required birth information. What qualifications you will need: * High school diploma or GED preferred * Hospital or medical ...
Mckinney, TX · On-site
Reviews patient medical records and other resources, as needed, to obtain required birth information. What qualifications you will need: * High school diploma or GED preferred * Hospital or medical ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
Plano, TX · Hybrid
$72K - $141K/yr
Responsible for reviewing and evaluating Claim files for the assigned line of business to determine whether the desired behaviors that result in quality Claim outcomes are present. Calibrates ...
Plano, TX · Hybrid
$72K - $141K/yr
Responsible for reviewing and evaluating Claim files for the assigned line of business to determine whether the desired behaviors that result in quality Claim outcomes are present. Calibrates ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
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The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
$11.65 - $12.69
1% of jobs
$12.69 - $13.73
3% of jobs
$13.73 - $14.76
9% of jobs
$14.76 - $15.80
12% of jobs
$15.83 is the 25th percentile. Wages below this are outliers.
$15.80 - $16.84
21% of jobs
The median wage is $17.06 / hr.
$16.84 - $17.88
20% of jobs
$18.56 is the 75th percentile. Wages above this are outliers.
$17.88 - $18.92
14% of jobs
$18.92 - $19.95
9% of jobs
$19.95 - $20.99
5% of jobs
$20.99 - $22.03
4% of jobs
$22.03 - $23.07
2% of jobs
$11
$17
$23
| Aspect | File Review | Document Reviewer |
|---|---|---|
| Primary Role | Assessing and evaluating files for accuracy, completeness, and compliance | Examining and verifying individual documents for correctness and adherence to standards |
| Required Credentials | Typically requires knowledge of industry standards, basic certifications, or training | Often requires similar credentials, with emphasis on document-specific standards |
| Work Environment | Office or remote, often in legal, financial, or healthcare sectors | Office-based, in legal, insurance, or compliance industries |
| Employer Usage | Used by firms needing to verify file integrity and compliance | Utilized by organizations reviewing individual documents for accuracy |
File Review involves evaluating entire files for compliance and completeness, while Document Reviewer focuses on verifying individual documents. Both roles share similar credentials and work environments, but their scope differs—File Review is broader, whereas Document Review is more detailed on specific documents.

Evaluates clinical service requests made by an organization's members and providers.
Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests.
May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member.
Participates in the process to evaluate clinical service requests.
Practices anticipatory case management for members whose cases come for review, in partnership with case managers.
Participates in the development of Physician Review Units' policies and procedures.
Actively participates in all unit continuous quality improvement activities.
Other duties as assigned by the Medical Director.
Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background.
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases.
Preferred Qualification: 10 years clinical experience; experience with managed care and utilization management
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It services
201 - 500 Employees
Southfield, MI, US
1995