Board Certified Internal Medicine Physicians for IME Cases- Stockton, CA

About the role

Dane Street is expanding its physician panel to offer supplemental income opportunities for independent contract reviewers (1099 status) who will be compensated on a per-case basis. The ideal candidates must hold a CA license and be Board-Certified in Physical Medicine and Rehabilitation, Internal Medicine, Family Medicine, or Occupational Medicine.

Responsibilities

• Utilize clinical expertise to review insurance appeals and prospective and retrospective claims
• Provide interpretations of medical necessity of services in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care
• Address questions posed by clients using client-specific criteria or other nationally recognized evidence-based criteria
• Ensure the rationale for determinations is clear, concise, and contains adequate supporting documentation
• Identify, critique, and utilize current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature
• Return cases on or before the due date and time
• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attend all required orientation and training
• Perform other duties as assigned, including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

Requirements

• Board-Certified in Physical Medicine and Rehabilitation, Internal Medicine, Family Medicine, or Occupational Medicine
• Hold a CA license
• Active practice required

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours
• No doctor/patient relationship established, no treatment provided
• Enhanced industry expertise and expanded credentials
• Prepared cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Pay

Compensation is on a per-case basis.

Schedule

You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability.