Physician Advisor for Insurance Review Cases
Dane Street
Dane Street is seeking a Physician Advisor specializing in insurance review cases in Stockton, California. This in-person role allows you to customize your case load for additional income. Dane Street expands its physician panel, searching for Board-Certified candidates in Physical Medicine and Rehabilitation, Internal Medicine, Occupational Medicine, or Family Medicine. Your expertise will guide the review of insurance claims and appeals, ensuring compliance and sound decision-making. Flexibility is key, allowing you to manage your schedule around case reviews. Key Responsibilities:
- Review all provided medical records and client queries
- Ensure clear justification with necessary documentation
- Incorporate national guidelines into decision-making
- Supply criteria used in reviews with reports promptly
- Complete cases by specified deadlines and conduct required calls
- Active physician license in California required
- Must possess Board Certification in assigned field
- Experience with insurance claims and regulatory compliance
- Maintain credentials and attend required training
- Understand quality assurance principles related to reviews
Vacancy posted 8 days ago
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