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New Jersey Licensed Family Practice Physician

Company: VirtualVocations
Location: West Covina
Posted on: May 3, 2025

Job Description:

A company is looking for a Family Practice Telecommute Medical Reviewer.
Key Responsibilities

Reviews medical files and provides recommendations for utilization review and medical necessity
Maintains proper credentialing and state licenses while returning cases with clear rationales
Interacts with healthcare providers regarding claims and quality assurance issues

Required Qualifications

Board certified MD or DO with an understanding of managed care and utilization of services
Current, unrestricted clinical license(s) or a process to ensure compliance with restrictions
Board certification by the American Board of Medical Specialties or American Board of Osteopathic Specialties
Active medical practice experience to perform appeals
Post-graduate experience in direct patient care

Keywords: VirtualVocations, Baldwin Park , New Jersey Licensed Family Practice Physician, Healthcare , West Covina, California

Click here to apply!

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