[Hiring] Board Certified Physician Reviewer - General Surgery @Dane Street, LLC

Role Description

Dane Street is an Independent Review Organization and a national provider of Utilization Review services. We are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity for physicians providing a caseload customized to your schedule.

• Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
• We are looking for the following specialties with an active Colorado License to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services:
  • General Surgery
• The average time spent on most reviews is 15-20 minutes, allowing for several cases to be completed within an hour.
• Training and onboarding can be completed in less than 1 week, and you can start earning compensation for reviews while maintaining your active practice.
• Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability.
• No doctor/patient relationship is established, and no treatment is provided; these are advisory-only opinions.
• Typical TAT is 1-5 business days depending on the level of review. Same-day cases are rare but do occur.
• Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making.
• Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports.
• A chronological listing of medical records as well as all treatment guidelines used to make a determination are provided in an easy, click-to-view format.
• In cases where peer-to-peer calls are necessary (adverse determinations), Dane Street’s peer coordinators secure provider availability.
• Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews.

Qualifications

• Current, unrestricted Colorado Medical License
• Active Practice
• Board Certified

Company Description