We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
... Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ... Enhanced industry expertise in medical necessity, utilization review, and claims support * Expanded ...
... Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ... Enhanced industry expertise in medical necessity, utilization review, and claims support * Expanded ...
Case Manager, Registered Nurse
Homer, AK · Remote
$54K - $155K/yr
Medical
Dental
Vision
Retirement
PTO
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Case Manager, Registered Nurse
Homer, AK · Remote
$54K - $155K/yr
Medical
Dental
Vision
Retirement
PTO
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Case Manager, Registered Nurse (Oncology experience required)
Homer, AK · Remote
$54K - $155K/yr
Medical
Dental
Vision
Retirement
PTO
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Case Manager, Registered Nurse (Oncology experience required)
Homer, AK · Remote
$54K - $155K/yr
Medical
Dental
Vision
Retirement
PTO
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Review and approve routine billeting records, room assignments, occupancy reports, and other ... Ensure accurate utilization of billeting and travel management software systems and provide ...
Review and approve routine billeting records, room assignments, occupancy reports, and other ... Ensure accurate utilization of billeting and travel management software systems and provide ...
Project Engineer
Palmer, AK · On-site +1
Medical
Dental
Vision
Life
Retirement
Palmer Office / Remote Projects Reports To: VP of Operations Status:Temporary to Regular, Full-Time ... Read and review project blueprints and structural specifications to determine dimensions of ...
Project Engineer
Palmer, AK · On-site +1
Medical
Dental
Vision
Life
Retirement
Palmer Office / Remote Projects Reports To: VP of Operations Status:Temporary to Regular, Full-Time ... Read and review project blueprints and structural specifications to determine dimensions of ...
Finance Manager - Security Services
Anchorage, AK · Remote
$91K - $119K/yr
Finance Manager - Security Services Location - Remote The Essential Duties and Responsibilities are ... Monitor staffing levels, labor utilization, and scheduling effectiveness in a labor-intensive ...
Quick apply
Finance Manager - Security Services
Anchorage, AK · Remote
$91K - $119K/yr
Finance Manager - Security Services Location - Remote The Essential Duties and Responsibilities are ... Monitor staffing levels, labor utilization, and scheduling effectiveness in a labor-intensive ...
Civil Engineer - ACES
Anchorage, AK · On-site +1
Medical
Dental
Vision
Life
Retirement
... in remote and often challenging environments. The Senior Civil Engineer serves as a technical ... utilization. * Lead interdisciplinary document reviews, coordination meetings, and technical ...
Civil Engineer - ACES
Anchorage, AK · On-site +1
Medical
Dental
Vision
Life
Retirement
... in remote and often challenging environments. The Senior Civil Engineer serves as a technical ... utilization. * Lead interdisciplinary document reviews, coordination meetings, and technical ...
IDIQ/Schedule Manager
Anchorage, AK · Remote
About this position: IDIQ/Schedule Manager Location - Remote The Essential Duties and ... review RFPs/RFQs, assess fit, and support bid/no-bid decisions · Maintain and enhance IDIQ ...
Quick apply
IDIQ/Schedule Manager
Anchorage, AK · Remote
About this position: IDIQ/Schedule Manager Location - Remote The Essential Duties and ... review RFPs/RFQs, assess fit, and support bid/no-bid decisions · Maintain and enhance IDIQ ...
$90K - $120K/yr
Medical
Dental
Vision
Retirement
PTO
... utilization and coding, quality and clinical documentation. * Analyze audit findings to identify ... Ability to read and review detailed documents. * Clear verbal and written communication required.
$90K - $120K/yr
Medical
Dental
Vision
Retirement
PTO
... utilization and coding, quality and clinical documentation. * Analyze audit findings to identify ... Ability to read and review detailed documents. * Clear verbal and written communication required.
Remote Chiropractic Utilization Review information
What are the key skills and qualifications needed to thrive as a remote chiropractic utilization review specialist?
To thrive as a Remote Chiropractic Utilization Review specialist, you need a Doctor of Chiropractic degree, a valid state license, and comprehensive knowledge of chiropractic procedures and medical necessity guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certification such as Certified Professional Utilization Review (CPUR) is often required. Strong analytical skills, attention to detail, and effective communication are crucial for evaluating clinical documentation and collaborating with providers. These skills ensure accurate, evidence-based reviews that support appropriate patient care and compliance with insurance standards.
What is the difference between Remote Chiropractic Utilization Review vs Remote Chiropractic Billing Specialist?
| Aspect | Remote Chiropractic Utilization Review | Remote Chiropractic Billing Specialist |
|---|---|---|
| Primary Role | Assessing medical necessity and appropriateness of chiropractic treatments | Managing billing, coding, and insurance claims for chiropractic services |
| Required Credentials | Chiropractic license, possibly certifications in utilization review | Medical billing certifications, knowledge of coding and insurance policies |
| Work Environment | Remote, healthcare or insurance companies | Remote, healthcare providers or billing companies |
| Industry Usage | Used by insurance companies and healthcare organizations to approve treatments | Used by billing companies and healthcare providers for claims processing |
Remote Chiropractic Utilization Review focuses on evaluating the medical necessity of chiropractic treatments, while Remote Chiropractic Billing Specialist handles billing, coding, and insurance claims. Both roles are remote and require healthcare knowledge, but they serve different functions within the chiropractic industry.
What is a remote chiropractic utilization review?
A Remote Chiropractic Utilization Review is a process where licensed chiropractors or healthcare professionals assess the necessity, efficiency, and appropriateness of chiropractic care provided to patients, but do so remotely—often from home or a centralized office. This review typically involves examining patient records, treatment plans, and billing information to ensure that care meets established clinical guidelines and insurance requirements. The goal is to improve patient outcomes, prevent unnecessary treatments, and ensure that services billed to insurance are medically necessary. Remote reviews use secure online systems and may require coordination with treating chiropractors, insurance companies, and other healthcare providers.
What are some common challenges faced in a remote chiropractic utilization review role, and how can they be managed?
One of the main challenges in a remote Chiropractic Utilization Review role is effectively evaluating clinical documentation to ensure treatment appropriateness without direct patient interaction. Communication with providers can sometimes be limited or delayed, requiring strong written and verbal skills to clarify cases efficiently. Managing time and workflow independently is crucial, as the workload may fluctuate throughout the week. Staying updated with payer guidelines and evidence-based practices is also essential for accurate reviews. Building strong virtual collaboration with team members and providers can help overcome these challenges and maintain high-quality standards.
What are popular job titles related to Remote Chiropractic Utilization Review jobs in Alaska?
For Remote Chiropractic Utilization Review jobs in Alaska, the most frequently searched job titles are:
What job categories do people searching Remote Chiropractic Utilization Review jobs in Alaska look for?
The top searched job categories for Remote Chiropractic Utilization Review jobs in Alaska are:
What cities in Alaska are hiring for Remote Chiropractic Utilization Review jobs?
Cities in Alaska with the most Remote Chiropractic Utilization Review job openings:
Contractor
Re-posted 27 days ago
Job description
Description
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
Requirements
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current state medical license in DC or Maryland
- Current Board Certification in Radiology
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.