Orthopedics Physician
At a glance
Orthopedic Surgeon role at Dane Street. Harper, TX · part-time.
Pay not stated Orthopedic Surgeon salary
physicianroles summary, based on the employer's listing.
What you'll do
- Review insurance appeals along with claims assessed before or after services are provided
- Judge whether care delivered by other clinicians was medically necessary
- Apply client policies, evidence-based guidelines and standards of care when reviewing cases
Who this fits
This part-time role suits a physician who can assess medical necessity and review insurance cases. The role focuses on independent medical exam reviews and advising.
From the employer
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.