Remote Spine Surgery Reviewer – Medical Necessity (1099)

Dane Street; Nevada (IA); À distance; USD 68 880 - 137 760; Temps partiel

Résumé du poste

Dane Street offers a telework opportunity for a Physician Reviewer in Nevada, allowing customization of your schedule and caseload. The role involves reviewing medical records and insurance appeals while ensuring compliance with client-specific criteria and nationally recognized guidelines. Candidates must hold a NV License. Compensation is provided on a per-case basis as a 1099 independent contractor, with responsibilities including thorough documentation and timely case returns.

Qualifications

• Preferred candidates will hold a NV License.
• Clinical expertise in reviewing medical claims and appeals.
• Ability to comply with client-specific policies and guidelines.

Responsabilités

• Review all medical records against client criteria and guidelines.
• Ensure rationale for decisions is clear and documented.
• Utilize national and state guidelines to support decision-making.
• Maintain timely returns of cases and adhere to due dates.
• Manage credentialing and licensing as necessary.

Formation

NV License

Description du poste

Dane Street offers a telework opportunity for a Physician Reviewer in Nevada, allowing customization of your schedule and caseload. The role involves reviewing medical records and insurance appeals while ensuring compliance with client-specific criteria and nationally recognized guidelines. Candidates must hold a NV License. Compensation is provided on a per-case basis as a 1099 independent contractor, with responsibilities including thorough documentation and timely case returns.