Orthopedic technician [h1.location_city]
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Orthopedic technician • baltimore md
- [promoted]
Medical Director - Orthopedic Surgery
VirtualVocationsBaltimore, Maryland, United States- [promoted]
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RCM Health Care ServicesRosedale, MD, United StatesMedical Director - Orthopedic Surgery
VirtualVocationsBaltimore, Maryland, United States- [job_card.full_time]
A company is looking for a Medical Claims Review Medical Director specializing in Neurosurgery or Orthopedic Surgery, working remotely.
Key Responsibilities
Conduct coverage reviews and render coverage determinations based on member plan benefits
Document clinical review findings and engage in peer-to-peer discussions with providers
Communicate and collaborate with network and non-network providers for accurate benefit determinations
Required Qualifications
M.D. or D.O. with an active unrestricted medical license
Board certification in Orthopedic Surgery or Neurosurgery
5+ years of clinical practice experience post-residency
Proven understanding of Evidence Based Medicine (EBM)
Demonstrated proficiency in using MS Word, Outlook, and Excel