Board-Certified Otolaryngology Specialist for IME Panel- Indiana

Dane Street; Indianapolis (IN); Remote; USD 275,000 - 350,000; Full time

Job summary

An innovative firm is seeking a Board-Certified Otolaryngology Specialist for a telework opportunity that offers supplemental income. This role allows physicians to customize their caseload according to their schedules, providing advisory-only opinions without establishing a doctor-patient relationship. With a focus on independent medical exams, the position emphasizes flexibility, robust support, and the chance to enhance your expertise in medical necessity and utilization review. Join a forward-thinking company that values your clinical insights and offers a streamlined workflow for optimal efficiency.

Benefits

Flexible schedule

Supplemental income opportunities

User-friendly work portal

Transcription services at no cost

Qualifications

• 5+ years of active practice in Otolaryngology required.
• Ability to review medical records and provide advisory opinions.

Responsibilities

• Review medical records and provide interpretations based on evidence-based guidelines.
• Ensure clear rationale and supporting documentation for decisions.

Skills

Otolaryngology expertise

Insurance appeals review

Medical necessity interpretation

Clinical decision-making

Education

Board Certification in Otolaryngology

IN Medical License

Job description

Board-Certified Otolaryngology Specialist for IME Panel- Indiana

Board-Certified Otolaryngology Specialist for IME Panel- Indiana

4 days ago Be among the first 25 applicants

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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 IN license and be Board Certified in Otolaryngology who have been actively practicing in their field for at least 5 years.

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.

Apply for this job

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Business Development and Sales

• Industries

  IT Services and IT Consulting

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