Skip to main content
Dane Street

Board Certified Physician Reviewer - Orthopedic Spine Surgery

RemoteUnited States only
Published
Employment
Contract
Salary not disclosed
Check eligibility

Open to US only. Set where you work from to check your eligibility.

No BS summary

Board-certified orthopedic spine surgeon with an active, unrestricted Texas medical license and active practice. 1099 telework reviewer for medical-necessity reviews, paid per case.

What you'll do

  • Address the medical necessity of treatment requests
  • Address, in appeals, the medical necessity of previously denied services
  • Complete physician reviews based on customized caseload and scheduled availability
  • Complete medical reviews based on scheduled availability
  • Provide advisory-only opinions; no treatment is provided

What they require

  • Current, unrestricted Texas Medical License
  • Active Practice
  • Board Certified in Orthopedic Surgery (Spine)
  • Current, unrestricted Louisiana Medical License

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
  • Independent consultant role allows for schedule flexibility and predictable work hours
  • Typical TAT is 1-5 business days depending on the level of review. Same-day cases are rare but do occur
  • Dane Street offers a streamlined case flow and a user-friendly work portal

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.

HealthcareMid-sizesite.danestreet.com/

What people say about this company

2.0/ 5

Details

Engagement1099 contractor
Salary not disclosed