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Reviewer Jobs in Georgetown, KY (NOW HIRING)

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

Humana

Compliance UM Nurse (Wed - Sun)

Frankfort, KY · On-site

Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...

Baptist Health

MRO Assistant

Lexington, KY · On-site

$17.75 - $22.50/hr

Summary BHMG Lexington Occupational Medicine Newton Pike The Medical Review Officer Assistant is an individual who assists the Medical Review Officer, Clients, Staff Members and patients by ...

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All JobsReviewer JobsReviewer Jobs in Georgetown, KY

Reviewer information

See Georgetown, KY salary details

$9

$26

$43

How much do reviewer jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for reviewer in Georgetown, KY is $26.98, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $32.98 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a reviewer, and why are they important?

A successful Reviewer needs strong analytical thinking, attention to detail, and expertise in the relevant subject area, often supported by a degree or professional background. Familiarity with review management software, submission tracking systems, and industry-specific guidelines is commonly required. Excellent written communication, objectivity, and time management set outstanding reviewers apart. These skills ensure thorough, fair, and timely evaluations, which uphold the quality and credibility of published work or products.

How do reviewers typically collaborate with other team members during the evaluation process?

Reviewers often work closely with subject matter experts, editors, or project managers to ensure that evaluations are thorough and consistent. Collaboration usually involves regular meetings to discuss criteria, clarify expectations, and address any ambiguities in the material under review. Additionally, Reviewers may provide feedback or suggestions for improvement and participate in group discussions to achieve consensus on final recommendations. This teamwork helps maintain high standards and ensures the integrity of the review process.

What is the difference between Reviewer vs Quality Control Inspector?

AspectReviewerQuality Control Inspector
CredentialsTypically requires a degree or certification in the relevant fieldOften requires technical training or certification in inspection methods
Work EnvironmentOffice or remote review settings, analyzing documents or dataManufacturing, construction, or production sites inspecting products
Employer & IndustryPublishing, media, manufacturing, or software companiesManufacturing, construction, aerospace, or automotive industries
Search & Comparison IntentUnderstanding review roles, responsibilities, and qualificationsComparing inspection and quality assurance roles in industry

While both reviewers and quality control inspectors ensure standards are met, reviewers primarily evaluate documents, data, or content in office settings, focusing on accuracy and compliance. Quality control inspectors physically examine products or processes on-site to identify defects or issues. Their roles overlap in quality assurance but differ in work environment and specific tasks.

How to get a job as a reviewer?

To become a reviewer, gain relevant knowledge in the subject area, develop strong communication and critical thinking skills, and build a portfolio of reviews or sample work. Many reviewer roles require attention to detail, familiarity with review platforms or tools, and sometimes specific certifications or experience depending on the industry. Applying through company websites, freelance platforms, or industry-specific job boards can help find opportunities.

What is a reviewer?

Reviewers are individuals who evaluate and provide feedback on various works, such as academic papers, products, services, or creative projects. Their main role is to assess the quality, accuracy, and relevance of the material, offering constructive criticism and recommendations for improvement. Reviewers are essential in maintaining standards and ensuring that only high-quality works are published or made available to the public. The specific responsibilities of a reviewer can vary depending on the industry or context in which they work.
What are the most commonly searched types of Reviewer jobs in Georgetown, KY? The most popular types of Reviewer jobs in Georgetown, KY are:
What are popular job titles related to Reviewer jobs in Georgetown, KY? For Reviewer jobs in Georgetown, KY, the most frequently searched job titles are:
What cities near Georgetown, KY are hiring for Reviewer jobs? Cities near Georgetown, KY with the most Reviewer job openings:
Reviewer jobs near you
Infographic showing various Reviewer job openings in Georgetown, KY as of August 2026, with employment types broken down into 68% Full Time, and 32% Part Time. Highlights an 45% In-person, and 55% Remote job distribution, with an average salary of $56,128 per year, or $27 per hour.

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)

St. George Tanaq Corporation

Frankfort, KY • On-site

Other

Posted 29 days ago

Job description

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)

Fully Remote•United States

Job Type

Full-time

Description

Overview

Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.

About the Role

We are seeking a Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) to support our federal client. In this role, you will review Medicare enrollment appeal and rebuttal cases, evaluate supporting documentation and evidence, and issue independent determinations based on applicable laws, regulations, policies, and guidelines.

This role will work under general supervision, with moderate latitude for initiative and independent judgment.

This is a remote position that can be based anywhere in the United States; candidates must reside in the United States. Must be able to work on a rotating schedule on weekends and holidays.

Responsibilities

  • Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review

  • Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy

  • Responds to and ensures that all issues raised by the beneficiary, representative, supplier, and provider have been addressed

  • Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures

  • Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision

  • Stays abreast of changes in regulations, medical and healthcare practices, policies and procedures

  • Participates in special projects and performs other duties as assigned

Requirements

Required Experience and Skills

  • One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance or related experience in a healthcare setting

  • Knowledge and experience following HIPAA regulations and personally identifiable information (PII).

  • Experience using Microsoft 365, including Excel and Word.

  • Must be able to pass Federal and state criminal background checks, as required by client.

  • Must be able to pass a drug screen, as required by the client.

  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Preferred Qualifications

  • Experience working within the federal public health agency environment.

  • Experience in appeals and billing.

  • Previous CMS guidelines or manual knowledge, particularly with the No Surprises Act.

  • Medical Coding certified.

Education and Training

  • Associate’s degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline.

  • Experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for an Associate’s degree on a year-for-year basis (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent)

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.

Who We Are

Tanaq Support Services (TSS) is a public health contractor, certified 8(a) business, owned by St. George Tanaq Corporation, an Alaska Native Corporation. (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to understand and provide feedback as we develop solutions.

Our Commitment to Non-Discrimination

Tanaq Support Services is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-free Workplace Act of 1988 and E-Verify.

If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.

Notice on Candidate AI Usage

Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills and education. To ensure the integrity of the interview process, the use of artificial intelligence (AI) tools to generate or assist with responses during phone, in person and virtual interviews is not allowed. However, candidates who require a reasonable accommodation that may involve AI are required to contact us prior to their interview at accommodation@tanaq.com.

To view this and all our job postings, visit us at:

https://recruiting.paylocity.com/recruiting/jobs/All/a4712c9f-f074-40e8-9a14-bee06660bd81/Tanaq-Support-Services-LLC

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