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Physician Reviewer - General Surgery - Remote

Posted 55 weeks ago
All others
Contract
United States

Overview

Dane Street is looking for individuals to conduct Group Health reviews, including clinical summaries and participation in Panel Hearing calls.

In Short

  • Conduct Group Health reviews
  • Participate in Panel Hearing calls
  • Dedicate 1 hour for each hearing
  • Write reports following hearings
  • Expertise in treatment of medical conditions
  • Knowledge of recommended health care services
  • Specialty match required
  • Higher compensation for Panel Appeal Hearings
  • Follow client rules for call cadence
  • Telecommute position

Requirements

  • Physician specialty in General Surgery
  • Clinical experience with similar medical conditions
  • Good-faith effort in panel hearings
  • Ability to block off time for hearings
  • Knowledge of health care services
  • Expertise in medical conditions
  • Ability to write reports
  • Adherence to client rules
  • Telecommuting capability
  • Professional conduct during interviews

Benefits

  • Flexible scheduling
  • Higher compensation for specific tasks
  • Opportunity to assist in medical reviews
  • Work from home
  • Engagement in meaningful medical discussions
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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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