Job Summary
A healthcare company is filling a position for a Telecommute Chiropractic Clinical Reviewer.
Individual must be able to fulfill the following responsibilities:
- Perform case reviews, both approvals and denials, for Chiropractic requests
- Discuss determinations with requesting Chiropractors
- Provide the clinical rationale for standard and expedited chiropractic appeals
Qualifications for this position include:
- Doctor of Chiropractic, State Licensure
- 5+ years of full time experience as a practicing Chiropractor
- Graduate of a college accredited by the Council on Chiropractic Education
- Certified by the National Board of Chiropractic Examiners
- Knowledge of Commission of Insurance, URAC, NCQA, HIPAA, etc