Internal Medicine Physician Reviewer – Independent Contract

Dane Street, LLC; Seaford (DE); On-site; USD 100,000 - 150,000; Part time

Job summary

Dane Street, LLC is expanding our physician panel with an in-person opportunity for physicians to provide supplemental income on a per-case basis. Independent contract reviewers (1099) are sought in Delaware who can schedule around their practice.

The selected Physician Reviewer/Advisor will assess medical necessity, review insurance appeals and claims, and interpret guidelines in line with client policies and nationally recognized standards of care.

Qualifications

• CA medical license required.
• Board certification in Internal Medicine, Family Medicine, or Occupational Medicine.
• Active medical practice in Delaware.
• Independent contractor (1099) status.
• In-person, schedule-flexible opportunity.

Responsibilities

• Reviews medical records and answers client questions using client-specific criteria.
• Ensures rationale for determination is clear and well documented.
• Identifies and uses current criteria and literature to support decisions.
• Provides copies of criteria used with the report.
• Returns cases by the due date and makes mandated calls.
• Maintains credentialing and state licenses and any required certifications.
• Attends orientation and training.
• Performs other duties including QA, regulatory issues, audits.
• Board certification required, active practice required.

Skills

CA License

Board Certification

Job description

Dane Street, LLC is expanding our physician panel with an in-person opportunity for physicians to provide supplemental income on a per-case basis. Independent contract reviewers (1099) are sought in Delaware who can schedule around their practice.

The selected Physician Reviewer/Advisor will assess medical necessity, review insurance appeals and claims, and interpret guidelines in line with client policies and nationally recognized standards of care.