Interventional Cardiology Physician Consultant

5 days ago


San Francisco, California, United States Dane Street Full time
About the Opportunity

This is a unique telework opportunity that allows you to tailor your schedule and caseload within the week while maintaining client-mandated turnaround times. As an independent contractor, you will be compensated on a per-case basis.

Job Summary

The physician reviewer will utilize clinical expertise to review insurance appeals, prospective, and retrospective claims. You will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

Key Responsibilities
  • You will work as an independent contractor with Dane Street, reviewing medical records and addressing each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria.
  • Your task will involve ensuring that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision.
  • You will identify, critique, and utilize current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews.
  • Maintaining proper credentialing and state licenses and any special certifications or requirements necessary to perform the job is essential.
Estimated Salary Range

We estimate that the average salary range for this position is between $150,000 and $250,000 annually, depending on experience and location.

Please note that this is a 1099 independent contractor position, and compensation will be based on a per-case basis.



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