Rheumatology Physician
@ Dane StreetDane Streetdanestreet.com
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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