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Orthopedics Physician

Dane Street

Pittsfield, MA
2 days ago
$200k - $250k

Job Description

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

Required Qualifications

  • Board certification
  • Active practice
  • Clinical expertise in orthopedics
  • Proper credentialing and state licenses

Preferred Qualifications

  • Experience with Independent Medical Exams
  • Knowledge of insurance appeals and claims
  • Familiarity with evidence-based guidelines

Benefits & Perks