Orthopedic Surgeon Reviewer

4 weeks ago


Bowling Green, Kentucky, United States Dane Street Full time

Dane Street is seeking a skilled Orthopedic Surgeon to join our team of independent contract reviewers. As a Physician Advisor, you will utilize your clinical expertise to review insurance appeals, prospective and retrospective claims, and provide interpretations of medical necessity.

Key Responsibilities:

  • Review medical records and address client questions using client-specific criteria or nationally recognized evidence-based guidelines
  • Ensure clear, concise rationales with adequate supporting documentation
  • Identify and utilize current criteria and resources to support sound decision-making
  • Return cases on or before due dates and make telephone calls as mandated
  • Maintain proper credentialing and state licenses

Benefits:

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours
  • No doctor-patient relationship is established, and no treatment is provided
  • Enhanced industry expertise and expanded credentials
  • Fully prepped cases, streamlined case flow, and transcription services

Dane Street supports all referral processes, scheduling, and case preparation, ensuring the quality and timeliness of all reports and report delivery.



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