Other Physician
Company: Dane Street
Location: East Hampton
Posted on: November 6, 2024
Job Description:
Dane Street is expanding our physician panel! This is a telework
opportunity for supplemental income for physicians providing a
caseload customized to your schedule. Our physician panel is
comprised of independent contract reviewers (1099) compensated on a
per-case basis.Candidates will hold a New York medical license and
be Board Certified in Dentistry. Ideal candidate s clinical space
will be within 20 miles of East Hampton, NY As a Physician
Reviewer/Advisor for Independent Medical Exams (IME), you will
utilize clinical expertise and review insurance appeals, and
prospective and retrospective claims. The Physician Reviewer 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.MAJOR DUTIES AND
RESPONSIBILITIES:
- Reviews all medical records and addresses each question posed
by the client utilizing client-specific criteria or other
nationally recognized evidence-based criteria
- Ensures that the rationale for the determination is clear,
concise, and contains adequate supporting documentation to
substantiate the decision
- Identifies, critiques, and utilizes 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; refrains from
using case studies, cohorts, and the like to make decisions due to
their limited sample sizes
- Provides copies of any criteria utilized in a review with the
report in a timely manner
- Returns cases on or before the due date and time
- Makes telephone calls as mandated by the state and/or client
specifics
- Maintains proper credentialing and state licenses and any
special certifications or requirements necessary to perform the
job
- Attends all required orientation and training
- Performs other duties as assigned including identifying and
responding to quality assurance issues, complaints, regulatory
issues, depositions, court appearances, or audits
- Board certification is required, and active practice is
requiredPLEASE BE AWARE: In the interest of the security of all
parties, Dane Street will never conduct interviews via text or
request checks from candidates for any reason including the
purchase of equipment. 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 portalDane 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.
Keywords: Dane Street, Pawtucket , Other Physician, Healthcare , East Hampton, Rhode Island
Didn't find what you're looking for? Search again!
Loading more jobs...
