ENT - Utilization Review - Remote- 1099 Contractor

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Must be an MD or DO with Board Certification in ENT/Otolaryngology., Minimum of 5 years of patient care experience in Pediatrics required., An unrestricted Minnesota state medical license is necessary., Must be a US Citizen or hold a Green Card..

Key responsibilities:

  • Review Prior Authorizations for treatment based on medical and healthcare plan guidelines.
  • Provide expert, unbiased assessments ensuring compliance with ERISA/DOL and state regulations.
  • Work remotely with flexibility, completing most cases in 30-60 minutes.
  • Participate as an Independent Contractor under MRIoA’s Errors and Omissions policy.

Medical Review Institute logo
Medical Review Institute SME https://www.mrioa.com/
201 - 500 Employees
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Job description

Description

MRIoA is a national Independent Review Organization, who facilitates the review of medical claims to determine treatment appropriateness.

 

THE OPPORTUNITY:

Minnesota state medical license required

  • Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
  • Flexibility – work as little as 1-2 hours per week (with no minimum requirement). Most cases take 30-60 minutes to complete.

 

ADDITIONAL INFORMATION:

  • Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US.)
  • Covered under MRIoA’s Errors and Omissions policy
  • Independent Contractor (1099) opportunity

Requirements

  • Must be an MD or DO
  • Must be Board Certified in ENT/Otolaryngology
  • Must have 5 years of patient care experience in Pediatrics
  • Must have an unrestricted Minnesota state medical license
  • Must be a US Citizen or hold a Green Card

 

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. 

 

 

Work Environment:

 

Ability to sit at a desk, utilize a PC, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).

 


Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Detail Oriented
  • Communication

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