Physician Advisor for Utilization Management
3 weeks ago
We are looking for a highly skilled Physician Advisor for Utilization Management to join our team at Dane Street. As a board-certified family practice physician, you will be responsible for reviewing insurance appeals, prospective, and retrospective claims, and providing expert opinions on the medical necessity of services provided by other healthcare professionals.
About the Role:
- Review insurance appeals, prospective, and retrospective claims
- Provide expert opinions on the medical necessity of services provided by other healthcare professionals
- Utilize clinical expertise and national guidelines to inform decisions
- Maintain proper credentialing and state licenses
What We Offer:
- $140,000 - $170,000 per year, depending on experience
- Predictable work hours and flexible scheduling
- No doctor/patient relationship is established and no treatment is provided
- Enhanced industry expertise and credentials as an expert in Independent Medical Exams and physician advisor services
Requirements:
- Board certification required
- Active practice required
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