Top 61 Physician chart review Jobs in Texas

Emergency Medicine Telecommute Medical Review Stream Physician
Concentra —Houston, TX
- Monday to Friday
- Medicine
- BC/BE
- Typing
- Flexible schedule
Hand Surgeon Medical Review Stream Physician
Concentra —Dallas, TX
- Monday to Friday
- Medicine
- Surgery
- BC/BE
- Flexible schedule
Occupational Medicine Physician
Pantex —Amarillo, TX
- Full-time
- Medicine
- Management
- BC/BE
- Health insurance
- Tuition reimbursement
Physician - Internal Medicine
Loyal Source —El Paso, TX
- $200 an hour
- Full-time
- CPR Certification
- Medicine
- Microsoft Excel
Quick Apply
Physician or APP | Adult or Family Med | Outpatient
Legacy Community Health —Pasadena, TX
- Full-time
- Medicine
- Customer service
- BC/BE
- 403(b) matching
- Paid holidays
Quick Apply
Endocrinologist Physician
Houston Thyroid and Endocrine Speclialists PLLC —Katy, TX
- Full-time
- Private practice
- Medicine
- BC/BE
- Health savings account
- Health insurance
Quick Apply
Medical Doctor
Loyal Source —El Paso, TX
- $170.86 an hour
- Full-time
- Spanish
- CPR Certification
- Medicine
Quick Apply
6d
Urgent Care Physician | San Antonio, TX
NextCare —San Antonio, TX
- $120 - $140 an hour
- Part-time
- Medicine
- Management
- BLS Certification
Quick Apply
Urgent Care Physician | Waco, TX
NextCare —Waco, TX
- $120 - $140 an hour
- Part-time
- Medicine
- BLS Certification
- Urgent Care
Quick Apply
Collaborating/Supervising Physician – Part-Time | Houston, TX
Lei-Kares Health Inc —Houston, TX
- Part-time
- Remote
- Medicine
- 11+ years
- Senior level
Quick Apply
Physician, Obesity Medicine - Dedicated Collaborator Full Time W2 (Region 2)
Form Health —Houston, TX
- $210,000 - $225,000 a year
- Full-time
- Remote
- Medicine
- Senior level
- Communication skills
- Paid parental leave
- Health insurance
Quick Apply
Physician, Endocrinologist - Dedicated Collaborator Full Time W2
Form Health —Dallas, TX
- $210,000 - $225,000 a year
- Full-time
- Remote
- Medicine
- Management
- Internal Medicine
- Paid parental leave
- Health insurance
Quick Apply
Physician (or APP) | Adult Med (Outpatient Primary Care)
Legacy Community Health —Houston, TX
- Full-time
- Medicine
- Customer service
- BC/BE
- 403(b) matching
- Paid holidays
Quick Apply
Physician (or APP) | Adult Med | Outpatient Primary Care
Legacy Community Health —Houston, TX
- Full-time
- Medicine
- Customer service
- BC/BE
- 403(b) matching
- Paid holidays
Quick Apply
11d
PM&R Physician - PRN
JPS Health Network —Fort Worth, TX
- PRN
- Medicine
- Experience working with individuals with disabilities
- BC/BE
Collaborating Psychiatrist (Supervising Physician) — Texas, USA, Remote, Part-Time, MD or DO
Legion Health —Austin, TX
- Up to $7,000 a month
- Choose your own hours
- Medicine
- Management
- Psychiatry
- Work from home
Physician - Vascular (PRN)
JPS Health Network —Fort Worth, TX
- PRN
- Medicine
- Surgery
- Customer service
- Relocation assistance
- Dental insurance
Physician
Strategic Resources Inc —Pearsall, TX
- Full-time
- Spanish
- CPR Certification
- Medicine
Physician Detention Health Services
University Health —San Antonio, TX
- Full-time
- Spanish
- Medicine
- BC/BE
Quick Apply
Physician or APP | Internal Med | Outpatient
Legacy Community Health —Houston, TX
- Full-time
- Medicine
- Customer service
- BC/BE
Quick Apply

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Emergency Medicine Telecommute Medical Review Stream Physician

Concentra -
Houston, TX

Apply Now

Job Details

Benefits

Flexible schedule

Qualifications

Appeals
Direct patient care
Phone communication
BC/BE
Medical License
Insurance claims appeal handling
Negotiation
Quality assurance experience within healthcare

Full Job Description

Overview:

Are you an accomplished Board Certified physician in one of the below specialties? Candidates must have a TX license.

Emergency Medicine Telecommute

Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor.

JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.

Responsibilities:

MAJOR DUTIES AND RESPONSIBILITIES:

Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.
Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.
Returns cases in a timely manner with clear concise and complete rationales and documented criteria.
Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.
Attends orientation and training
Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.
Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.
Provides copies of any criteria utilized in a review to a requesting provider in a timely manner

Qualifications:

EDUCATION/CREDENTIALS:

Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board);
Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Must be in active medical practice to perform appeals

JOB-RELATED EXPERIENCE:
Post-graduate experience in direct patient care

JOB-RELATED SKILLS/COMPETENCIES:

Demonstrated computer skills, telephonic skills
Demonstrated ability to perform review services.
Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals.
Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest
Must present evidence of current error and omissions liability coverage for job duties and activities performed
Managed care orientation
Knowledge of current practice standards in specialty
Good negotiation and communication skills

WORKING CONDITIONS/PHYSICAL DEMANDS:

Phone accessability
Access to a computer to complete reviews
Ability to complete cases accompanied by a typed report in specified time frames
Telephonic conferences

This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

Concentra is an Equal Opportunity Employer M/F/Disability/Veteran

Concentra's Data Protection Commitment

Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
Every Concentra colleague has the responsibility to adhere to data protection principles.
If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Additional Data:

This position is an independent contractor role for Concentra.

Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws

Apply Now

Refine Your Search

physician chart review jobs in texas

Emergency Medicine Telecommute Medical Review Stream Physician

Hand Surgeon Medical Review Stream Physician

Occupational Medicine Physician

Physician - Internal Medicine

Physician or APP | Adult or Family Med | Outpatient

Endocrinologist Physician

Medical Doctor

Urgent Care Physician | San Antonio, TX

Urgent Care Physician | Waco, TX

Collaborating/Supervising Physician – Part-Time | Houston, TX

Physician, Obesity Medicine - Dedicated Collaborator Full Time W2 (Region 2)

Physician, Endocrinologist - Dedicated Collaborator Full Time W2

Physician (or APP) | Adult Med (Outpatient Primary Care)

Physician (or APP) | Adult Med | Outpatient Primary Care

PM&R Physician - PRN

Collaborating Psychiatrist (Supervising Physician) — Texas, USA, Remote, Part-Time, MD or DO

Physician - Vascular (PRN)

Physician

Physician Detention Health Services

Physician or APP | Internal Med | Outpatient

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