Physician Reviewer - Gastroenterology

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Candidates must hold an active NM License.

Physician Specialty:  Gastroenterology

JOB SUMMARY

Utilizes clinical expertise, and reviews 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...

Dane Street is looking for individuals to conduct Group Health reviews.  This review will include a clinical summary, potential calls to the treating providers, and responses to questions posed. 

Physician Specialty:  Gastroenterology

Here is some information to know about this potential panel position:

• All of our physician reviewers are contractors with Dane Street.
• A flat rate is offered for Group Health Record/Policy Reviews. 
• Peer to Peer calls may be required. Dane Street will help arrange any Peer to Peer phone calls, if needed.
• The average length of time to review each case is between 15-30 minutes.
• The cases are prepared for you before they are provided for your review.
• Some cases may REQUIRE a short turnaround time...meaning some cases...