Board Certified - IME/RR Orthopedic Surgery - Old Orchard Beach, ME

Dane Street; Old Orchard Beach (ME); Remote; USD 150,000 - 250,000; Full time

Job summary

An established industry player is seeking Board Certified Orthopedic Surgeons for a flexible telework opportunity in Independent Medical Exams. This role allows physicians to customize their caseload and work hours while providing advisory opinions without establishing a doctor/patient relationship. With robust support for scheduling and case preparation, you can enhance your medical practice while enjoying a supplemental income. This position is ideal for those looking to leverage their expertise in a flexible, rewarding manner, making it a perfect fit for busy professionals seeking work-life balance.

Benefits

Schedule flexibility

Predictable work hours

Transcription services at no cost

Streamlined case flow

Enhanced industry expertise

Qualifications

• Must hold a ME license and be Board Certified in Orthopedic Surgery.
• Experience with shoulder cases is preferred.

Responsibilities

• Review medical records and provide interpretations based on evidence-based guidelines.
• Ensure timely return of cases and maintain proper credentialing.

Skills

Board Certification in Orthopedic Surgery

Clinical Expertise

Insurance Appeals Review

Medical Necessity Interpretation

Education

Medical Degree (MD or DO)

Tools

User-friendly work portal

Job description

Board Certified - IME/RR Orthopedic Surgery - Old Orchard Beach, ME

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 ME license and be Board Certified in Orthopedic Surgery with experience with shoulder cases. Independent Medical Exam must be completed within 30 miles of Old Orchard Beach, ME.

Requirements

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and review 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

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.