Board Certified-(M.D, D.O) Oakland, CA-Ophthalmology Advisor, Certified for IME

Dane Street, LLC(4 months ago)

RemoteFull TimeSenior$123,541 - $167,210 (estimated)Healthcare

About this role

The Physician Reviewer/Advisor for Independent Medical Exams (IME) provides expert clinical review of insurance appeals and prospective and retrospective claims, offering interpretations of medical necessity in compliance with client policies and evidence-based guidelines. The role supports utilization review and advisory opinions without establishing doctor–patient relationships and enhances medical practice through IME and physician advisor services. Board certification and active clinical practice are required.

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Required Skills

Medical Record Review
Clinical Review
Medical Necessity
Evidence-Based Medicine
Documentation
Credentialing
Utilization Review
Expert Testimony
Time Management

Qualifications

Board Certification
State Medical License
Active Practice

About Dane Street, LLC

danestreet.com

Dane Street specializes in Independent Medical Examinations (IME) and Peer Review services for the insurance industry, focusing on sectors such as Workers' Compensation, Pharmacy, Disability, Auto/Liability, and Group Health. The company is dedicated to providing high-quality evaluations and reviews that ensure compliance and efficiency across various lines of insurance business. With a commitment to utilizing advanced technology and a network of experienced medical professionals, Dane Street aims to streamline the claims process while facilitating optimal outcomes for insurers and their clients.