Texas Licensed Physician Reviewers- Otolaryngology & Plastic Surgery

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Current, unrestricted Texas Medical License, Board Certified in Otolaryngology or Plastic Surgery, Active practice in the relevant field, Ability to provide advisory-only opinions on medical necessity..

Key responsibilities:

  • Review treatment requests and appeals for medical necessity
  • Complete case reviews in a timely manner, averaging 10-15 minutes each
  • Utilize a user-friendly work portal for case management
  • Maintain communication with Dane Street for support and training.

Dane Street, LLC logo
Dane Street, LLC Insurance SME https://www.danestreet.com/
51 - 200 Employees
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Job description

Dane Street is an Independent Review Organization and a national provider of Group Health Review services (among other offerings). We are expanding our physician panel, resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity for physicians providing a caseload customized to your schedule.

Our physician panel comprises independent contract reviewers (1099) compensated on a per-case basis. We are looking for reviewers with an active Texas license to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services.

The average time spent on most reviews is 10-15 minutes, so it is possible to complete several cases within an hour.

Training and onboarding can be completed in less than 1 week, and you can start earning compensation for reviews while maintaining your active practice.

  • Current, unrestricted Texas Medical License
  • Active Practice
  • Board Certified

Benefits

  • Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability.
  • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
  • Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports.
  • A chronological listing of medical records as well as all treatment guidelines used to make a determination are provided in an easy, click-to-view format.
  • Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews.

Required profile

Experience

Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Communication

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