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Physician Reviewer - Gastroenterology - Remote

Posted 53 weeks ago
All others
Contract
United States

Overview

Dane Street is looking for individuals to conduct Group Health reviews, including clinical summaries and potential calls to treating providers.

In Short

  • Contract position for physician reviewers.
  • Flat rate offered for Group Health Record/Policy Reviews.
  • Peer to Peer calls may be required.
  • Average review time per case is 15-30 minutes.
  • Cases are prepared before review.
  • Some cases may require same-day review.
  • Panel Hearing calls require 1 hour of time.
  • Higher compensation for Panel Appeal Hearings.
  • Report writing required after hearings.
  • Expertise in treatment of medical conditions is necessary.

Requirements

  • Must be a qualified physician in Gastroenterology.
  • Knowledge of recommended health care services.
  • Recent clinical experience treating similar conditions.
  • Ability to follow client rules for calls.
  • Specialty match required.

Benefits

  • Flexible scheduling for reviews and hearings.
  • Support from Dane Street for arranging calls.
  • Opportunity to assist in important medical reviews.
  • Potential for higher compensation for specific tasks.
  • Work from anywhere in the United States.
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Dane Street

Dane Street, LLC is a healthcare-focused organization dedicated to maintaining a robust physician panel to meet client needs. The company emphasizes the importance of individual and team contributions to ensure client satisfaction and a positive working environment. With a commitment to effective physician recruitment and network management, Dane Street operates within pre-established guidelines to negotiate costs and onboard new physicians. The organization values strong communication, negotiation skills, and a thorough understanding of medical terminology and compliance guidelines, fostering a collaborative atmosphere that supports both operational teams and physician reviewers.

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