Orthopedic Medical Review Advisor – Flexible Schedule

Dane Street, LLC; Delaware; Remote; USD 60,000 - 80,000; Part time

Benefits offered by this job

Schedule flexibility

Supplemental income

Enhanced industry expertise

Job summary

A healthcare consultancy is looking for a qualified Physician Reviewer/Advisor to utilize clinical expertise for reviewing insurance appeals and claims. The role offers robust opportunities for supplemental income and schedule flexibility. Physicians will ensure the medical necessity of services is evaluated in compliance with recognized guidelines and will not establish doctor-patient relationships. The position requires board certification and active practice, with an emphasis on quality assurance and timely report submissions.

Qualifications

• Board certification required.
• Active practice required.

Responsibilities

• Review medical records and address client questions using specific criteria.
• Ensure rationale for decisions is clear and supported.
• Maintain proper credentialing and licenses.

Job description

A healthcare consultancy is looking for a qualified Physician Reviewer/Advisor to utilize clinical expertise for reviewing insurance appeals and claims. The role offers robust opportunities for supplemental income and schedule flexibility. Physicians will ensure the medical necessity of services is evaluated in compliance with recognized guidelines and will not establish doctor-patient relationships. The position requires board certification and active practice, with an emphasis on quality assurance and timely report submissions.