Job description
Join to apply for the Claims Review Endocrinologist role at Capitol Bridge
Founded in 2012, Capitol Bridge is based in Arlington, Virginia, with expertise in independent medical reviews, data management, medical coding, staffing, and eligibility reviews.
Capitol Bridge is seeking an experienced 1099 Claims Review Endocrinologist. The role involves resolving claim disputes submitted by healthcare providers and plans, requiring professionalism, efficiency, and courtesy.
Salary Range: Approximately $250 per case, depending on case requirements.
Key Responsibilities:
- Assess documentation impartially from all parties involved.
- Review medical documentation to determine medical necessity or appropriateness.
- Use guidelines to support determinations.
- Follow policies, regulations, and project guidelines.
- Maintain effective communication and meet deadlines.
- Ensure quality and privacy standards.
- Perform other duties as assigned.
Required Qualifications:
- Licensed in the required specialty.
- At least five years of clinical care experience within the past three years.
- Non-restricted license in any US state; board certification in relevant specialty for physicians.
Preferred Qualifications:
- Familiarity with claims and review processes.
- Experience with electronic documents and Microsoft Office.
- Ability to handle confidential information and work independently or collaboratively.
- Strong organizational and communication skills.
Additional Information:
- Background check required.
- Reasonable accommodations available upon request.
- Capitol Bridge is an Equal Opportunity Employer.
- Applicants may receive text communication about this job.