Dane Street
Dentistry- Independent Medical Examiner (IME)
Dane Street, Clarksburg, West Virginia, us, 26306
Dentistry - Independent Medical Examiner (IME)
Be among the first 25 applicants, 4 weeks ago As a Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise to review insurance appeals and claims, providing interpretations of the medical necessity of services in compliance with client-specific policies, evidence-based guidelines, and standards of care. Major Duties and Responsibilities:
Review all medical records and address client questions using specific and recognized criteria. Ensure clear, concise rationale with supporting documentation for decisions. Utilize current guidelines and literature, avoiding limited sample case studies for decision-making. Provide copies of utilized criteria with reports promptly. Return cases on or before deadlines. Make mandated telephone calls. Maintain proper credentials, licenses, and certifications. Attend required orientation and training. Perform additional duties, including responding to quality, regulatory, or legal issues. Board certification and active practice are required. Note:
Dane Street will never conduct interviews via text or request checks for equipment purchases. Benefits:
Supplemental income opportunity Flexible schedule, predictable hours, and case selection No doctor/patient relationship or treatment involved Enhance industry expertise in medical necessity and utilization review Expand credentials as an IME and physician advisor Streamlined case flow, prepped cases, transcription services, and user-friendly portal Dane Street manages referral processes, scheduling, case preparation, client communication, and report quality and delivery. Additional Details:
Seniority Level: Entry level Employment Type: Contract Job Function: Other Industries: IT Services and IT Consulting Referrals can double your chances of interview at Dane Street. Get notified about new Medical Examiner jobs in
Clarksburg, WV . Location: Mannington, WV. Salary: $80,000 - $90,000. Two weeks ago.
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Be among the first 25 applicants, 4 weeks ago As a Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise to review insurance appeals and claims, providing interpretations of the medical necessity of services in compliance with client-specific policies, evidence-based guidelines, and standards of care. Major Duties and Responsibilities:
Review all medical records and address client questions using specific and recognized criteria. Ensure clear, concise rationale with supporting documentation for decisions. Utilize current guidelines and literature, avoiding limited sample case studies for decision-making. Provide copies of utilized criteria with reports promptly. Return cases on or before deadlines. Make mandated telephone calls. Maintain proper credentials, licenses, and certifications. Attend required orientation and training. Perform additional duties, including responding to quality, regulatory, or legal issues. Board certification and active practice are required. Note:
Dane Street will never conduct interviews via text or request checks for equipment purchases. Benefits:
Supplemental income opportunity Flexible schedule, predictable hours, and case selection No doctor/patient relationship or treatment involved Enhance industry expertise in medical necessity and utilization review Expand credentials as an IME and physician advisor Streamlined case flow, prepped cases, transcription services, and user-friendly portal Dane Street manages referral processes, scheduling, case preparation, client communication, and report quality and delivery. Additional Details:
Seniority Level: Entry level Employment Type: Contract Job Function: Other Industries: IT Services and IT Consulting Referrals can double your chances of interview at Dane Street. Get notified about new Medical Examiner jobs in
Clarksburg, WV . Location: Mannington, WV. Salary: $80,000 - $90,000. Two weeks ago.
#J-18808-Ljbffr