Board Certified Physician Reviewer - Neurological Surgery
- Employment
- Contract
Open to US only. Set where you work from to check your eligibility.
No BS summary
Board-certified neurological surgeon with an active, unrestricted Texas Medical License and active practice. 1099 independent reviewer doing telework utilization reviews on medical necessity.
Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and 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 specialties listed below with active Texas License to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services. Neurological Surgery The average time spent on most reviews is 15-20 minutes so it is possible to complete several cases 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. Contact us today about joining our panel of specialty reviewers! Requirements Current, unrestricted Texas Medical License Active Practice Board Certified in Neurological Surgery Benefits 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
What you'll do
- Address the medical necessity of treatment requests.
- Address, in appeals, the medical necessity of previously denied services.
- Complete specialty physician reviews through a telework caseload customized to your schedule.
- Provide advisory-only opinions; no doctor/patient relationship is established and no treatment is provided.
- Conduct clinical decision-making for determinations/reports.
- Address the medical necessity of treatment requests
- Address the medical necessity of previously denied services (in appeals)
What they require
- Current, unrestricted Texas Medical License.
- Active Practice.
- Board Certified in Neurological Surgery.
- Current, unrestricted Tennessee Medical License
- Active Practice
- Board Certified
Benefits
- 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.
- 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
- 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
- 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
A fast-paced, Inc. 500 Company providing Independent Medical Exams and Peer Review programs and processing insurance claims for national and regional carriers, TPAs, MCOs, employers and PBMs.
What people say about this company
2.0/ 5