External Physician Reviewer

Job Title
External Physician Reviewer
Job Type
Occasional
Category
Medical Services
Location
Work from Home FSM Based - Fort Smith, AR 72903 US
Work from Home LR Based - Little Rock, AR 72201 US (Primary)
Education
Professional
Travel

AFMC is looking to contract with physicians to complete prior authorizations and retrospective reviews. Compensation is paid by review completed.
Specialists Needed:

Oncologist
Pulmonologist
Neurologist
Neurosurgeons
Cardiologist
Gastroenterologist
Urologist
Geneticist
Scope of Services:
The types of reviews AFMC Clinical Services completes are Medicaid prior authorizations and retrospective reviews.

Perform assigned initial and reconsideration reviews such as:

Prior authorizations for:
Durable Medical Equipment, Hyperalimentation, Ventilators, and Wheelchairs
Medical/Surgical Procedures and Hyperbaric Oxygen Treatment
Physician Administered Drugs
Molecular Pathology

Retrospective reviews for:

Inpatient Length of Stay
Emergency Room
Extension of Benefits
Hospital Acquired Conditions
Acute Crisis Unit

Use AFMC ReviewPoint - a clinical review platform, when indicated.
Maintain reliable internet with speeds of 2Mbps uploaded to maintain call quality and process integrity. +15Mbps download generally allows more fluid access to data and systems while lower speeds will result in increased lag time. Please note there is nothing AFMC team can do to improve your home internet access. To test your speed, go to
Additional duties, as agreed upon.

Job Requirements
Credentialing Qualifications:
Active, unrestricted license to practice medicine in Arkansas
Board-certified
Minimum of five (5) years full-time equivalent direct patient care experience
Direct patient care experience within the previous three (3) years
Maintain current liability and malpractice insurance coverage for non-UR clinical activities
Located in a state or territory of the United States when conducting appeal considerations

Internet Requirements:
Reliable, high-speed wireless internet service (Wi-Fi)
Equal Opportunity Employer/Veterans/Disabled EEO IS THE LAW
AFMC, Inc. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability or any other status protected by federal, state and/or local law. AFMC invites any employee and/or applicant to review the Company's Affirmative Action Plan. This plan is available for inspection upon request, which may be made in person or by telephone (501) , by fax (501) or by U.S. mail Attn: Human Resources, 1020 West 4th Street, Suite 400, Little Rock, AR 72201.