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Genetics Utilization Review Remote 1099

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

Must have a Medical Degree (MD or DO), Must be Board Certified in Genetics, Must have solid computer navigation skills, Must have an unrestricted state medical license..

Key responsabilities:

  • Review Prior Authorizations for treatment in Genetics
  • Engage in Peer-to-Peer conversations with treating providers for clarification
  • Manage your own schedule with required daytime availability
  • Complete cases typically taking 30-60 minutes, with additional compensation for calls.

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

Description

Are you interested in providing your expertise in Genetics by reviewing Prior Authorizations for treatment?

Medical Review Institute of America, LLC (MRIoA) is a national Independent Review Organization, who facilitates the review of medical claims to determine treatment appropriateness.

IS REVIEW WORK FOR ME?

  • Are you interested in staying informed of changes in Genetics and knowing what treatments are utilized by other Geneticists?
  • Are you interested in learning more about how to get your own Prior Authorizations approved?
  • Manage your own schedule - but daytime availability is required for Peer-to-peer conversations.
  • Most MRIoA reviewers average 1-2 hours per week, however, there are no minimum expectations.
  • Cases typically take 30-60 minutes to complete.
  • Cases often involve a Peer-to-Peer conversation with the treating provider to obtain clarification when necessary. There is additional compensation for peer-to-peer calls.
  • Some cases are only a 10–15-minute Peer-to-Peer call.

ADDITIONAL INFORMATION:

• You will be covered under MRIoA’s Errors and Omissions policy (traditional Malpractice Insurance is not applicable for review work)

• Work anywhere within the USA (Per HIPAA Regulations patient records cannot leave the US).

• Non-employed Independent Contractor (1099) opportunity.

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

 



Requirements

  • Must have a Medical Degree MD or DO
  • Must have some daytime availability
  • Must be Board Certified in Genetics
  • Must have solid computer navigation skill
  • Must have an unrestricted state medical license
  • Must be a US Citizen or hold a Green Card (we are unable to sponsor a VISA)

Required profile

Experience

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

Other Skills

  • Time Management

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