Physician Reviewer

6 months ago

Bellevue, United States Dane Street Full time

This opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department of Labor and Industries (L&I).

Highlights:

  • In-person Exams to be conducted in Bellevue, WA, with additional locations to be added in the future
  • Multiple exams over the course of a day
  • Dane Street will pay for reasonable travel expenses
  • Dane Street will assist you in obtaining WA L&I certification
  • Video recording of approximately 15% of exams may be needed

JOB SUMMARY

Utilizes clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

  • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
  • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
  • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
  • Provides copies of any criteria utilized in a review with the report in a timely manner
  • Returns cases on or before the due date and time
  • Makes telephone calls as mandated by the state and/or client specifics
  • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
  • Attends all required orientation and training
  • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

  • Physician Reviewer

    6 days ago

    Bellevue, Washington, United States Dane Street, LLC Full time

    Job OpportunityWe are seeking a highly skilled Physician Reviewer to join our team in Bellevue, WA.About the RoleThis is a per-case basis opportunity for independent contractors. Our reviewers will utilize their clinical expertise to review insurance appeals, and prospective and retrospective claims.The successful candidate will provide an interpretation of...

  • Physician Reviewer

    6 months ago

    Bellevue, United States Dane Street, LLC Full time

    This opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department...

  • Physician Reviewer

    11 hours ago

    Bellevue, WA, United States Dane Street, LLC Full time

    This opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department...

  • Anesthesiology Physician

    4 months ago

    Bellevue, United States Doc Cafe Full time

    DocCafe has an immediate opening for the following position: Physician - Anesthesiology in Bellevue, Ohio.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician and Advanced Practice...

  • Anesthesiology Physician

    6 months ago

    Bellevue, United States DocCafe Full time

    DocCafe has an immediate opening for the following position: Physician - Anesthesiology in Bellevue, Ohio.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician and Advanced Practice...

  • Family Practice-Without OB Physician

    4 months ago

    Bellevue, United States DocCafe Full time

    DocCafe has an immediate opening for the following position: Physician - Family Practice-Without OB in Bellevue, Washington.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe Offers:Free Physician and...

  • Physician Health and Wellness Manager

    6 days ago

    Bellevue, Washington, United States HEALTHCARE RECRUITMENT COUNSELORS Full time

    We are seeking a highly motivated and skilled Physical Therapist to fill a Lead PT position in our Bellevue, WA office.Job OverviewThis full-time opportunity offers a competitive salary of $100k per year (DOE), plus an array of benefits including vacation/PTO days, health insurance, dental insurance, vision insurance, life insurance, internal wellness...

  • Physician Assistant

    4 weeks ago

    Bellevue, United States Overlake Arthritis & Osteoporosis Center Full time

    ON-SITE REGISTERED NURSE PRACTITIONER OAOC is seeking a full-time certified physician assistant to be a part of our team. You will be joining us at an exciting time of growth, as we expand to two locations! Here you will have the opportunity to be a part of a progressive and highly skilled medical team. You'll be an essential part of our team for ensuring...

  • Telemedicine Physician Specialist

    7 days ago

    Bellevue, WA, United States MRG Exams Full time

    About Us: MRG ExamsMRG Exams is a leading provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process.We strive to deliver thorough, objective, and compassionate medical assessments that contribute to timely and accurate disability evaluations. Our mission is to provide...

  • Physical Medicine and Rehabilitation Doctor

    5 days ago

    Bellevue, United States MRG Exams Full time

    Physical Medicine and Rehabilitation Doctor - Bellevue WA at MRG Exams summary: MRG Exams is seeking a dedicated Physical Medicine and Rehabilitation (PM&R) Physician to conduct independent medical assessments for U.S. veterans, focusing exclusively on objective evaluations rather than treatment. The role involves reviewing medical records, completing...

  • Physical Medicine and Rehabilitation Doctor

    3 days ago

    Bellevue, United States MRG Exams Full time

    Physical Medicine and Rehabilitation Doctor - Bellevue WA at MRG Exams summary: MRG Exams is seeking a dedicated Physical Medicine and Rehabilitation (PM&R) Physician to conduct independent medical assessments for U.S. veterans, focusing exclusively on objective evaluations rather than treatment. The role involves reviewing medical records, completing...

  • Physical Medicine and Rehabilitation Doctor

    4 days ago

    Bellevue, United States MRG Exams Full time

    Physical Medicine and Rehabilitation Doctor - Bellevue WA at MRG Exams summary: MRG Exams is seeking a dedicated Physical Medicine and Rehabilitation (PM&R) Physician to conduct independent medical assessments for U.S. veterans, focusing exclusively on objective evaluations rather than treatment. The role involves reviewing medical records, completing...

  • Physical Medicine and Rehabilitation Doctor

    2 weeks ago

    Bellevue, United States MRG Exams Full time

    About Us: MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, objective, and compassionate medical assessments that contribute to timely and accurate disability evaluations. Position Summary: We are seeking a...

  • Nurse Practitioner/Physician Assistant

    6 months ago

    Bellevue, United States NOMS Healthcare Full time

    Job Summary: Responsible for providing primary care services, including assessing and managing patients in the clinic following established standards and practices. Essential Functions: 1. Complies with all HIPAA and OSHA regulations and policies. 2. Performs a complete physical exam, obtains complete medical history and records findings. Orders appropriate...

  • Nurse Practitioner Opportunities in Healthcare

    7 days ago

    Bellevue, Ohio, United States Matrix Medical Network Full time

    About UsAt Matrix Medical Network, we strive to provide a comprehensive range of clinical services that empower primary care providers and at-risk health plan members to better manage their health at home. Our team of clinicians breaks through traditional barriers to care by meeting individuals where they are, helping them enjoy a better quality of life and...

  • Physical Medicine and Rehabilitation Doctor

    2 weeks ago

    Bellevue, United States MRG Exams Full time

    About Us: MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, objective, and compassionate medical assessments that contribute to timely and accurate disability evaluations.Position Summary: We are seeking a...

  • Physical Medicine and Rehabilitation Doctor

    2 weeks ago

    Bellevue, United States MRG Exams Full time

    About Us: MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, objective, and compassionate medical assessments that contribute to timely and accurate disability evaluations.Position Summary: We are seeking a...

  • Physical Medicine and Rehabilitation Doctor

    2 weeks ago

    Bellevue, United States MRG Exams Full time

    About Us: MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, objective, and compassionate medical assessments that contribute to timely and accurate disability evaluations.Position Summary: We are seeking a...

  • Physical Medicine and Rehabilitation Doctor

    2 weeks ago

    Bellevue, United States MRG Exams Full time

    About Us: MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, objective, and compassionate medical assessments that contribute to timely and accurate disability evaluations.Position Summary: We are seeking a...

  • Physical Medicine and Rehabilitation Doctor

    1 week ago

    Bellevue, United States MRG Exams Full time

    Physical Medicine and Rehabilitation Doctor - Bellevue WA at MRG Exams summary: The Physical Medicine and Rehabilitation (PM&R) Doctor role at MRG Exams involves conducting independent medical assessments for veterans, focusing on reviewing medical records and completing VA Disability Benefits Questionnaires (DBQs). This position is dedicated to...