Orthopedics Physician - Escanaba - Dane Street

    Dane Street
    Dane Street Escanaba

    3 days ago

    Full time $250,000 - $650,000 (USD) per year
    Description

    Dane Street is expanding our physician panel. This telework opportunity offers supplemental income for physicians, with a customized caseload based on your schedule.

    Job Requirements

    • Candidate must hold a Michigan Medical license and be Board Certified in Orthopedic Surgery Medicine within 45 miles of Escanaba, MI

    You will utilize clinical expertise to review insurance appeals, claims, and provide an interpretation of the medical necessity of services provided by other healthcare professionals. The role involves reviewing all medical records addressing each question posed by the client using nationally recognized evidence-based guidelines and standards of care.

    Main Responsibilities:

    1. Reviews all medical records addressing each question posed by the client utilizing nationally recognized criteria or resources such as national state professional association guidelines peer-reviewed literature that support sound objective decision-making rationales in reviews refrains from using case studies cohorts sample sizes making decisions due their limited
    2. Maintains proper credentialing state licenses any special certifications requirements necessary perform job attends required orientation training performs duties assigned identifying responding quality assurance issues complaints regulatory audits depositions court appearances issue identifys& responds com
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