Oral Surgery- Independent Medical Examiner (IME) As a Physician Reviewer/Advisor for Independent Medical Record Reviews , you will leverage your clinical expertise to review insurance appeals and evaluate prospective and retrospective claims. You will provide an objective, evidence-based interpretation of the medical necessity of services provided by other healthcare professionals, in compliance with client-specific policies, nationally recognized guidelines, and standards of care. Major Duties and Responsibilities Review all medical records and address each question posed by the client using client-specific criteria or other nationally recognized evidence-based standards Ensure that the rationale for each determination is clear, concise, and supported by adequate documentation Identify, critique, and utilize current guidelines, state and national standards, and peer-reviewed literature to support objective decision-making. Avoid relying on small-sample studies such as case reports when forming conclusions Provide copies of any criteria referenced in the review along with the report Complete and return cases by the assigned due date and time Make telephone calls to clients when required by state regulations or client-specific protocols Maintain proper credentialing, state licenses, and any required certifications Perform other assigned duties, including responding to quality assurance issues, regulatory inquiries, depositions, court appearances, or audits Board certification and active practice required Please Note: For security purposes, Dane Street will never conduct interviews via text or request payment or checks from candidates for any reason, including equipment purchases. Benefits Robust opportunity for supplemental income Schedule flexibility - you choose your case volume and conduct reviews based on your availability Remote work - no doctor/patient relationship established and no treatment provided; these are advisory-only opinions Enhanced industry expertise in medical necessity and utilization review Expanded credentials as an expert in Independent Medical Reviews and physician advisory services Fully prepped cases, streamlined case flow, and transcription services provided at no cost User-friendly work portal for efficient case management About Dane Street We support all referral processes, prepare all medical records, provide transcription services when applicable, facilitate all client communications, and ensure the quality and timeliness of all reports and report delivery. Seniority level Entry level Employment type Contract Job function Other Industries IT Services and IT Consulting #J-18808-Ljbffr Dane Street
...Description Job Description We are looking for an experienced General Manager to lead our thriving dealership to continued success. Our... ...diploma or GED equivalent required Minimum 3-5 years of automotive management experience Excellent communication and...
...LanceSoft is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Herrin, Illinois. Job Description & Requirements... ...Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities....
...Description Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Jackson, Mississippi. Job Description... ...country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of. Care...
...Description Salary: 28-38 FulcrumAir Corp, the leader in aerial robotics for the electrical utility industry, is seeking a drone pilot & robot operator who is ready to hit the road and tackle challenging projects across the country as a member of our Operations crew....
...Work from Home Customer Service Representative We are looking for people who are motivated to participate in paid research across the country and local areas. Join This Work from Home Spain Market Research Panel Today. You have two options when it comes to paid research...