Board-Certified Otolaryngology Specialist

Summary

Join Dane Street's expanding physician panel as an independent contractor (1099) and enjoy a flexible telework opportunity to supplement your income. Customize your caseload to fit your schedule, focusing on Independent Medical Examinations (IMEs) in Southern and Western New York. As a Physician Reviewer/Advisor, you will utilize your clinical expertise to review insurance appeals and claims, interpreting medical necessity and ensuring compliance with guidelines. This role offers robust supplemental income potential with schedule flexibility and predictable work hours. Dane Street handles all referral processes, scheduling, case preparation, medical record gathering, transcription, client communication, and report delivery, allowing you to focus on your expertise.

Requirements

• Hold a NY license
• Be Board Certified in Otolaryngology
• Experience in completing Independent Medical Examinations
• 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