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Physician Assistant, Medical Claim Review - Remote
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Job Description
- Req#: 2246431
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $173,200 annually
- Comprehensive benefits package including equity stock purchase and 401k contribution
- Flexibility to work remotely from anywhere within the U.S.
- Opportunities for career development and advancement within the organization
- Supportive work culture focused on diversity and inclusion
What to Expect (Job Responsibilities):
- Conduct individual case reviews for Medical Claim Review across various health plans and insurance products
- Collaborate with medical directors to communicate decision rationales and benefit interpretations
- Actively participate in team meetings for communication, feedback, and process improvement
- Provide clinical and strategic input for organizational committees and projects
- Work as part of an integrated team of medical professionals to enhance health outcomes
What is Required (Qualifications):
- Active, unrestricted Physician Assistant license
- Board-certified by NCCPA
- 8+ years of post-graduate, hands-on clinical experience
- 2+ years of experience in hospital-based medicine
- Intermediate or higher proficiency with managed care (billing, coding)
How to Stand Out (Preferred Qualifications):
- 10+ years of experience in post-graduate, hands-on clinical practice
- 2+ years of experience in Quality Management
- Experience with claims coding and review
- Proven excellent telephonic and interpersonal communication skills
- Familiarity with current medical issues and practices
#HealthcareServices #PhysicianAssistant #RemoteWork #CareerDevelopment #DiversityAndInclusion
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