Board-Certified Otolaryngology Specialist

Summary

Join Dane Street's expanding physician panel as an independent contractor (1099) and enjoy supplemental income with a flexible schedule. This telework opportunity allows you to customize your caseload and work hours. Ideal candidates are board-certified in Otolaryngology, hold an IN license, and have at least 5 years of active practice experience. As a Physician Reviewer/Advisor, you will review insurance appeals and claims, interpreting medical necessity and ensuring compliance with guidelines. Dane Street provides full case preparation, transcription services, and a user-friendly work portal. No doctor-patient relationship is established; this role focuses solely on advisory opinions.

Requirements

• Hold a IN license and be Board Certified in Otolaryngology
• Actively practicing in their field for at least 5 years
• Board certification required, active practice required

Responsibilities

• Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
• Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
• Provides copies of any criteria utilized in a review with the report in a timely manner
• Returns cases on or before the due date and time
• Makes telephone calls as mandated by the state and/or client specifics
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attends all required orientation and training
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

Benefits

• Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
• Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal
• Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery