Medical Review Institute of America

Earn Extra Income - 1099 - Utilization Review - Rheumatology - New Mexico

United States

telemedicine
Non clinical

Job Highlights

  • Flexible Schedule
  • Are you interested in providing your expertise in the Utilization Review process? Current New Mexico State license is required.

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

    • Are you interested in staying informed of changes in medicine and knowing what treatments are utilized by other Physicians.
    • 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.

    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.

    REQUIREMENTS

    • Must have some daytime availability
    • Must have 5 years of clinical experience post residency
    • Must be Board Certified in Rheumatology.
    • Must have solid computer navigation skill
    • Must have an unrestricted New Mexico state Medical License
    • Must be a US Citizen or hold a Green Card

    For more information, please contact:

    Cathy Stenberg

    Medical Recruitment Manager

    Medical Review Institute of America, LLC

    catherine.stenberg@mrioa.com

    www.mrioa.com

    Learn more about our quality-driven culture at www.mrioa.com

    About Medical Review Institute of America

    Medical Review Institute of America (MRIoA) has been an industry leader in physician peer review for over 30 years. As an Independent Review Organization, we conduct independent/impartial reviews to ensure that services provided are in accordance with recognized standards of care and based on current scientific medical literature and guidelines. Our reviewers also review health plan coverage policies to determine if a patient's treatment is covered. MRIoA utilizes a nationwide network of board-certified physician specialists and professionals in over 133 specialties and sub-specialties of medicine. MRIoA holds dual accreditation with URAC with certificates in Health Utilization Management and as an Independent Review Organization. In addition, MRIoA is NCQA and SSAE 16 certified.

    Posted January 15, 2025