Orthopedic Surgery- Independent Medical Examiner (IME)

Dane Street, LLC(7 months ago)

RemoteContractSenior$123,203 - $170,240 (estimated)Medical Review

About this role

A Physician Reviewer/Advisor for Independent Medical Exams conducts clinical reviews of insurance appeals and prospective/retrospective claims, providing expert interpretations of medical necessity in accordance with client policies and evidence-based guidelines. The role supports advisory-only opinions for IMEs, offers flexible scheduling, and enhances physicians' expertise in utilization review and advisory services.

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Required Skills

Medical Records
Evidence-Based
Medical Necessity
Report Writing
Credentialing
Quality Assurance
Case Management
Transcription
Telephone Communication

Qualifications

Board Certification
State Medical License
Active Clinical 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.