Physician Reviewer, Appeals Anywhere in the U.S.

E
Entry Level Remote Jobs


Freelance Mobile App Tester - Work From Home, Per Project Pay
Entry Level Remote Jobs • Indonesia • via The Elite Job
16 hours ago
$20–$30 an hour
Full–time and Part-time
No Degree Mentioned
Apply directly on The Elite Job
Job description
Job Summary

Are you passionate about mobile apps and eager to break into the tech industry from the comfort of your home? Entry Level Remote Jobs is hiring Freelance Mobile App Testers to evaluate app performance, usability, and functionality. This remote opportunity is perfect for students, tech enthusiasts, or those seeking a flexible side gig with no prior experience required. You will be testing a variety of iOS and Android applications and providing detailed feedback to help developers improve user experience.
Key Responsibilities
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Test mobile applications on different devices and platforms (iOS and Android).
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Identify bugs, glitches, and UI/UX issues during functionality tests.
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Complete structured feedback reports based on testing results.
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Follow provided test scripts or instructions while exploring additional edge cases.
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Communicate findings clearly and effectively with screenshots and screen recordings when necessary.
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Meet deadlines and adhere to project-specific guidelines.
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Stay updated with the latest mobile OS features and trends.
• Required Skills and Qualifications
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Basic understanding of mobile apps and how they function.
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Comfortable navigating smartphones, tablets, and installing apps.
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Strong attention to detail and critical thinking abilities.
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Clear written communication skills to document test results.
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Access to at least one Android or iOS mobile device with internet connectivity.
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Ability to follow detailed instructions independently.
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Familiarity with Google Docs, Sheets, or similar tools.
• Experience
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No professional experience required – perfect for beginners!
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Prior experience in app testing or QA is a plus but not mandatory.
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Training materials and guidelines will be provided.
• Working Hours
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Flexible work schedule – test whenever you are available.
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Projects are assigned based on availability and device compatibility.
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Average time commitment: 1–4 hours per project.
• Knowledge, Skills, and Abilities
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Basic understanding of app interfaces, menus, navigation, and mobile responsiveness.
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Ability to spot inconsistencies or usability problems.
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Willingness to learn and improve testing techniques.
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Ability to work autonomously and manage your time effectively.
• Benefits
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100% remote and flexible work-from-home opportunity.
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Get paid per project – the more you test, the more you earn.
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Gain valuable experience in mobile app testing and QA.
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Ideal for students, freelancers, homemakers, and career changers.
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No investments or paid courses required – start earning immediately.
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Chance to contribute to the development of real-world mobile applications.
• Why Join Entry Level Remote Jobs?

At Entry Level Remote Jobs, we empower individuals to take their first step into the digital workspace with meaningful freelance work. Whether you are a tech novice or looking to sharpen your digital skills, we provide accessible remote opportunities tailored to suit your schedule. Join a growing network of remote professionals, enjoy the freedom of working from anywhere, and make a real impact in the app development space—all without needing prior experience.
How to Apply

Ready to start testing apps and earning from home?
• Click the Apply Now button on our official website.
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Fill in the short application form and device compatibility survey.
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Our onboarding team will review your profile and assign your first test project.
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Start testing, submit your feedback, and get paid per project!
•
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Alignment Health


Physician Reviewer, Appeals Anywhere in the U.S.
Alignment Health • via RemoteFront
$1.98L–$2.97L a year
Full–time
Apply on RemoteFront
Apply on USA Remote Jobs
Apply on Remote Jobs Hiring Now
Apply on Medicalstore
Job description
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Appeals Physician Reviewer plays a critical role in the healthcare review process by conducting clinical reviews of appeals and grievances submitted by providers and members. This position ensures that medical necessity decisions align with current clinical guidelines, regulatory requirements, and plan benefits. The physician reviewer provides objective, evidence-based determinations and collaborates with internal teams to support fair and timely resolution of appeals.

Job Responsibilities:
• Review clinical documentation and case records for appeals and grievances involving denied services for Medicare populations.
• Apply evidence-based guidelines, clinical judgment, and medical policy to assess medical necessity and appropriateness of care.
• Render determinations in accordance with applicable regulations (e.g., CMS, NCQA, URAC), contractual obligations, and clinical best practices.
• Provide clear, concise, and well-supported written rationales for all decisions and benefit interpretations.
• Participate in peer-to-peer discussions with attending providers, when appropriate.
• Ensure timely review and resolution of cases in accordance with organizational and regulatory timelines.
• Collaborate with medical directors, case managers, and legal/compliance teams as needed.
• Maintain strict confidentiality of all patient and proprietary information.
• Stay current with clinical guidelines, medical advancements, and regulatory changes.

Job Requirements:

Experience:

Required:
• 3-5 years of clinical practice experience.
• Strong knowledge of medical necessity criteria (e.g., MCG, InterQual), CMS guidelines, and health plan operations.

Preferred: Experience in utilization management, appeals, peer review, or managed care

Education and Licensure

Required:
• MD or DO with an active, unrestricted medical license in CA, AZ, NV, TX and/or NC.
• Board certification in a clinical specialty Internal Medicine or Family Medicine preferred

Preferred: Multistate licensure or compact state license

Specialized Skills

Required:
• Excellent written and verbal communication skills.
• Basic computer skills, typing, word processing, presentation and internet researching skills.
• Ability to work independently and manage multiple appeals reviews under tight deadlines.

Preferred:
• Familiarity with healthcare regulations especially Medicare.
• Proficiency with electronic health record (EHR) systems and clinical review software.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $198,219.00 - $297,329.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or ****** orientation.
• DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.

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