As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Quick apply
Apply Early
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Quick apply
Apply Early
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Apply Early
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Memphis, TN ยท Remote
$17/hr
Join us as a Remote Medical Benefits Representative and make a real impact every day!" Join a ... Review/prior-authorize meds, services & procedures * Verify patient eligibility/benefits with ...
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Be Seen First
Memphis, TN ยท Remote
$17/hr
Join us as a Remote Medical Benefits Representative and make a real impact every day!" Join a ... Review/prior-authorize meds, services & procedures * Verify patient eligibility/benefits with ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Dane Street is seeking experienced Radiologists to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases ...
Dane Street is seeking experienced Radiologists to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases ...
Remote Rn - Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As ...
Remote Rn - Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... This role involves conducting pre- and post-payment medical reviews to ensure compliance with ...
Quick apply
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... This role involves conducting pre- and post-payment medical reviews to ensure compliance with ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... This role involves conducting pre- and post-payment medical reviews to ensure compliance with ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... This role involves conducting pre- and post-payment medical reviews to ensure compliance with ...
Winter Park, FL ยท Remote
$18 - $22/hr
Medical Billing Specialist - 100% Remote $18-22/hour | Full-Time | Permanent Opportunity We're ... Review UB-04 and/or HCFA 1500 claims for billing accuracy * Investigate eligibility discrepancies ...
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Winter Park, FL ยท Remote
$18 - $22/hr
Medical Billing Specialist - 100% Remote $18-22/hour | Full-Time | Permanent Opportunity We're ... Review UB-04 and/or HCFA 1500 claims for billing accuracy * Investigate eligibility discrepancies ...
Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical ...
Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical ...
Plano, TX ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Plano, TX ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Nashville, TN ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Nashville, TN ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical ...
Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical ...
Provo, UT ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Provo, UT ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Saint Louis, MO ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Saint Louis, MO ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Winston Salem, NC ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Winston Salem, NC ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Boise, ID ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Boise, ID ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical ...
Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of expert medical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical ...
Fort Lauderdale, FL ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Fort Lauderdale, FL ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Saint Paul, MN ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Saint Paul, MN ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Augusta, GA ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Augusta, GA ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
$11.78 - $19.84
14% of jobs
$24.28 is the 25th percentile. Wages below this are outliers.
$19.84 - $27.91
21% of jobs
The median wage is $32.08 / hr.
$27.91 - $35.97
30% of jobs
$35.97 - $44.03
9% of jobs
$46.72 is the 75th percentile. Wages above this are outliers.
$44.03 - $52.10
3% of jobs
$52.10 - $60.16
13% of jobs
$60.16 - $68.23
1% of jobs
$68.23 - $76.29
4% of jobs
$76.29 - $84.35
0% of jobs
$84.35 - $92.42
0% of jobs
$92.42 - $100.48
5% of jobs
$11
$42
$100
A Remote Medical Reviewer evaluates medical records, claims, or cases to ensure accuracy, compliance, and appropriate medical decision-making. They typically work for insurance companies, healthcare organizations, or third-party review agencies. This role involves analyzing documentation, applying clinical guidelines, and providing recommendations based on medical expertise. It requires a background in healthcare, such as nursing or medicine, along with strong analytical and communication skills. The job is performed remotely, allowing flexibility while maintaining high standards of medical review.
A Remote Medical Reviewer requires a strong background in healthcare, such as a nursing or pharmaceutical degree, along with in-depth knowledge of clinical guidelines and regulatory standards. Familiarity with electronic medical record (EMR) systems, coding software, and industry certifications like RHIA or CCS is often necessary. Exceptional attention to detail, analytical thinking, and clear written communication are vital soft skills for this role. These competencies ensure accurate and timely medical review decisions that impact patient care and regulatory compliance.
Remote Medical Reviewers often encounter challenges such as reviewing complex cases with limited background information and keeping up with frequent updates to medical regulations and insurance policies. Staying organized, participating in continuing education, and leveraging robust digital communication tools can help you overcome these obstacles. You'll also need to be self-motivated and comfortable working independently, as remote teams often collaborate primarily through virtual meetings and secure documentation platforms. Embracing strong time management practices and regularly connecting with colleagues for case discussions can greatly enhance your job performance and satisfaction.

Full-time
Posted 17 days ago
Be an early applicant
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.
MAJOR DUTIES AND RESPONSIBILITIES:
Please be aware that, in the interest of all parties, Dane Street won't conduct interviews via text or request checks from candidates for any reason, including the purchase of equipment.
Benefits
Benefits
Sourced by ZipRecruiter
51 - 200 Employees
Boston, MA, US
2008