Independent Medical Reviewer
5 days ago
About Dane Street, LLC
Dane Street, LLC is a telehealth company that specializes in providing independent medical reviews. We are seeking an Independent Medical Reviewer to join our team.
Estimated Salary Range: $100-$160 per hour
Job Description:
The Independent Medical Reviewer will review medical records and provide written opinions on the medical necessity of services provided by healthcare professionals. The reviewer will use their expertise to ensure that our clients' policies are being followed in compliance with national guidelines and standards of care.
Responsibilities:
• Review medical records and determine the medical necessity of services provided by healthcare professionals
• Use expertise to ensure that client policies are being followed in compliance with national guidelines and standards of care
• Identify, critique, and utilize current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature to support sound and objective decision-making and rationales in reviews
• Provide written opinions on the medical necessity of services provided by healthcare professionals
• Return cases on or before the due date and time
• Make telephone calls as mandated by the state and/or client specifics
• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attend all required orientation and training
• Perform other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
Requirements:
• Board certification required, active practice required
Benefits:
• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal
• Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.
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