Orthopedic Surgery- Need for Treatment Examination (NFT)
a day ago
Highlight
OnsiteFull-timeEntry
Summary
Dane Street is seeking a Physician Reviewer/Advisor for Independent Medical Exams (IME) to join their team in Myrtle Beach, SC. The role involves utilizing clinical expertise to review insurance appeals and claims, providing interpretations of medical necessity.
About the Role
As a Physician Reviewer/Advisor, you will review all medical records, ensure clear and concise rationale for determinations, and utilize nationally recognized evidence-based guidelines. You will also maintain proper credentialing, attend required training, and perform other duties as assigned, including addressing quality assurance issues and participating in audits.
About You
Required:
- Board certification in a relevant medical field.
- Active practice in the medical field.
Preferred:
- Experience in reviewing medical records and insurance claims.
- Familiarity with evidence-based guidelines and standards of care.
Benefits
- Robust opportunity for supplemental income.
- Schedule flexibility and predictable work hours.
- No doctor/patient relationship is established; advisory-only opinions.
- Enhanced industry expertise in medical necessity and utilization review.
- Expanded credentials as an expert in Independent Medical Exams.
- Fully prepped cases and streamlined case flow with transcription services at no cost.
Dane Street
Dane Street is the industry's fastest growing national IME and Peer Review provider with a panel of board-certified, active-practice physicians in all 50 states. Services are provided to the Workers Compensation, Pharmacy, Disability, Group Health and Auto/Liability lines of business. Dane Street's Review and Evaluation services provide improved report quality, faster turnaround time and higher adjuster/nurse satisfaction and productivity.
Myrtle Beach, SC