Board Certified - IME/RR Neurology - Panama City, FL

Dane Street; Panama City (FL); Remote; USD 95,000 - 105,000; Full time

Job summary

Dane Street is seeking Board Certified Neurologists to join their physician panel as independent reviewers for medical exams. This telework position allows for flexible scheduling and provides an opportunity for supplemental income while maintaining independence in practice. The role involves reviewing medical necessity and interpreting healthcare services under specific guidelines, ensuring quality and timeliness in report delivery.

Benefits

Schedule flexibility

Supplemental income opportunities

No doctor/patient relationship

User-friendly work portal

Qualifications

• Candidates must hold a FL license and be Board Certified in Neurology.
• Experience in medical necessity reviews is preferred.
• Ability to provide clear and concise determinations is necessary.

Responsibilities

• Review all medical records based on specific client criteria.
• Ensure clear rationale for determinations with supporting documentation.
• Maintain proper credentialing and attend required training.

Skills

Clinical expertise

Reviewing insurance appeals

Objective decision-making

Education

Board Certified in Neurology

Active FL license

Job description

Board Certified - IME/RR Neurology - Panama City, FL

Board Certified - IME/RR Neurology - Panama City, FL

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Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

The ideal candidates will hold a FL license and be Board Certified in Neurology.

• Independent Medical Exam must be completed within 10 miles of Panama City, Florida.**
  
  

Requirements

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize 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 evidence-based criteria
• Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
• Provides copies of any criteria utilized in a review with the report in a timely manner
• Returns cases on or before the due date and time
• Makes telephone calls as mandated by the state and/or client specifics
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attends all required orientation and training
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
  
  

Board certification required, active practice required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment.

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal
  
  

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development and Sales

• Industries

  Insurance

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Panama City Beach, FL $95,000.00-$105,000.00 3 weeks ago

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