
Posted 14 hours ago
Board Certified Internal Medicine Physician
Dane Street, LLCPhysician Reviewer
Requirements
Board Certification in Internal Medicine, Family Medicine, or Occupational Medicine, Active medical practice, Delaware medical license
Skills
Medicine
About the role
Responsibilities
- Review medical records and address client questions using specific or evidence-based criteria
- Ensure rationales for determinations are clear, concise, and adequately documented
- Utilize current national, state, and professional association guidelines for objective decision-making
- Provide copies of utilized criteria with reports in a timely manner
- Return cases on or before the specified due date and time
- Perform telephone calls as mandated by state or client requirements
- Maintain proper credentialing, state licenses, and necessary certifications
- Respond to quality assurance issues, complaints, regulatory issues, depositions, or audits
Requirements
- Board Certification in Internal Medicine, Family Medicine, or Occupational Medicine
- Active medical practice
- Valid medical license for the state of Delaware
- Ability to provide clinical expertise for insurance appeals and claims reviews
Benefits
- Supplemental income with schedule flexibility
- Predictable work hours based on your availability
- No doctor/patient relationship or treatment required
- Enhanced industry expertise in medical necessity and utilization review
- Expanded credentials as an expert in Independent Medical Exams
- Streamlined workflow with fully prepped cases and free transcription services
About the Company
Dane Street is expanding its physician panel to provide independent contract reviewers with customized caseloads for supplemental income.
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Dane Street, LLC · Seaford
