Neurologist Reviewer (WA Licensed) - Flexible Schedule

Dane Street; Bellevue (WA); Hybrid; USD 80,000 - 100,000; Part time

Benefits offered by this job

Compensation for reasonable travel expenses

Assistance with WA L&I certification

Job summary

Dane Street seeks a Physician Reviewer in Bellevue, WA, to utilize clinical expertise in reviewing insurance appeals and claims. This role involves ensuring compliance with guidelines and providing clear rationales for medical necessity determinations. Candidates must hold a WA license and be certified or willing to obtain certification with the Washington State Department of Labor and Industries. Flexible scheduling and per-case compensation structure are offered.

Qualifications

• Must hold a WA license and be certified or willing to gain certification.
• Strong clinical skills in reviewing medical records and claims.
• Ability to provide clear and concise rationales for decisions.

Responsibilities

• Review and analyze all medical records based on client's criteria.
• Ensure determinations are backed by adequate documentation.
• Identify and utilize proper criteria and resources for decision-making.
• Return cases before due dates and maintain proper credentialing.
• Attend required training and orientation sessions.

Skills

Clinical expertise

Medical necessity interpretation

Knowledge of evidence-based guidelines

Attention to detail

Education

WA license

Certification with Washington State Department of Labor and Industries

Job description

Dane Street seeks a Physician Reviewer in Bellevue, WA, to utilize clinical expertise in reviewing insurance appeals and claims. This role involves ensuring compliance with guidelines and providing clear rationales for medical necessity determinations. Candidates must hold a WA license and be certified or willing to obtain certification with the Washington State Department of Labor and Industries. Flexible scheduling and per-case compensation structure are offered.