Physician Advisor for Independent Medical Exams
4 weeks ago
Dane Street, LLC is seeking a skilled physician to join our panel of independent contract reviewers. As a Physician Advisor for Independent Medical Exams, you will utilize your clinical expertise to review insurance appeals, prospective and retrospective claims, and provide interpretations of medical necessity.
The ideal candidate will hold an active medical license and be Board Certified in OB/GYN-Obstetrics and Gynecology. You will work on a per-case basis, with a caseload customized to your schedule.
Key Responsibilities:
- Review medical records and address client questions using client-specific criteria or nationally recognized evidence-based guidelines
- Ensure rationale for determinations is clear, concise, and supported by adequate documentation
- Identify and utilize current criteria and resources to support sound and objective decision-making
- Return cases on or before due dates and times
- Maintain proper credentialing and state licenses
Benefits:
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours
- No doctor-patient relationship is established, and no treatment is provided
- Enhanced industry expertise and expanded credentials
- Fully prepped cases, streamlined case flow, and user-friendly work portal
Dane Street supports all referral processes, scheduling, and case preparation, ensuring the quality and timeliness of all reports and report delivery.
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