Rheumatology Physician

@ Dane Street

Rheumatology Physician

Portage, MI

Posted 2 days ago

About the job

Join our team as an Orthopedics - Spine Physician Reviewer, assessing insurance appeals and claims, utilizing clinical expertise to ensure compliance with guidelines and standards of care.

Requirements

Clinical expertise in orthopedics
Experience with insurance reviews
Knowledge of evidence-based guidelines
Strong interpretation skills

Qualifications

Medical degree (MD/DO)
Board-certified in orthopedics
Experience in medical reviews
Excellent analytical skills

Full job description

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.

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