Join Dane Street as a Pediatric Neurology Physician Reviewer, where you will leverage your clinical expertise to conduct telework reviews of medical records, ensuring compliance with insurance policies. Enjoy the flexibility of customizing your schedule while making a significant impact in healthcare compliance.
Key Responsibilities
Conduct telework reviews of medical records for medical necessity
Evaluate insurance appeals and claims compliance
Provide clear and concise documentation for decisions
Utilize evidence-based criteria and guidelines in reviews
Communicate with peers as needed for case discussions
Maintain proper credentialing and state licenses
Required Qualifications
Medical degree (MD or DO)
Board certification in Pediatrics or Pediatric Neurology
Current medical license in the relevant state
Experience in medical record review and insurance appeals
Preferred Qualifications
Familiarity with evidence-based guidelines
Experience in telemedicine or remote reviews
Strong analytical and decision-making skills
Benefits & Perks
Flexible schedulingWork from homePer-case compensation