Join Dane Street as an Orthopedics Physician, where you'll leverage your clinical expertise to review insurance appeals and claims, ensuring adherence to evidence-based guidelines. This role is pivotal in maintaining quality assurance and regulatory standards in the healthcare sector.
Key Responsibilities
Review medical records and address client questions
Ensure clear and concise rationale for determinations
Utilize current criteria and resources for decision-making
Provide supporting documentation for decisions
Return cases by due date
Maintain proper credentialing and licenses
Attend required training and orientation
Respond to quality assurance issues and complaints