Board Certified Medical Reviewer

3 days ago


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

Dane Street, LLC is seeking a Board Certified Family Practice Physician to join our team as an Independent Medical Examiner/Record Reviewer. This telehealth opportunity provides a chance for supplemental income, working from the comfort of your own clinic or home office within 50 miles of Seattle, WA.

About the Opportunity

As a Physician Reviewer/Advisor, you will utilize your clinical expertise to review insurance appeals, prospective and retrospective claims, and provide interpretations of medical necessity in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

Key Responsibilities
  • Review medical records and address questions posed by clients using client-specific criteria or nationally recognized evidence-based guidelines
  • Ensure rationale for determinations is clear, concise, and contains adequate supporting documentation
  • Identify, critique, and utilize current criteria and resources, including national, state, and professional association guidelines, and peer-reviewed literature
  • Provide copies of utilized criteria with reports in a timely manner
  • Return cases on or before due dates and times
  • Maintain proper credentialing and state licenses, as well as any special certifications or requirements necessary to perform the job

Please note that no doctor-patient relationship is established, and no treatment is provided. These are advisory-only opinions.

Requirements
  • Board certification in Family Practice
  • Active Washington State Medical license
  • Access to clinic space within 50 miles of Seattle, WA
Salary Estimate

$120-$150 per hour (estimated)

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