Board Certified Medical Reviewer
3 days ago
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 OpportunityAs 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
$120-$150 per hour (estimated)
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