Physician Reviewer - Gastroenterology

Dane Street is looking for individuals to conduct Group Health reviews. This review will include a clinical summary, potential calls to the treating providers, and responses to questions posed. Physician Specialty: Gastroenterology Here is some information to know about this potential panel position: • All of our physician reviewers are contractors with Dane Street. • A flat rate is offered for Group Health Record/Policy Reviews. • Peer to Peer calls may be required. Dane Street will help arrange any Peer to Peer phone calls, if needed. • The average length of time to review each case is between 15-30 minutes. • The cases are prepared for you before they are provided for your review. • Some cases may REQUIRE a short turnaround time...meaning some cases may need to be reviewed the same day! Dane Street is also looking for individuals who would also be interested in participating in Panel Hearing calls. These calls require the physician to dedicate 1 hour of time. The calls are scheduled and set up for the physician(s). Panel Hearing calls are typically scheduled at least 2 weeks in advance to provide the physicians with plenty of notice. Panel Appeal Hearings are a component of the referral assignment from one of our clients. Dane Street and its clients expect that reviewers will make a good-faith effort to assist in these panel hearings. These panel hearings are a required component of some of our specific referrals, and for Dane Street to assist, we need good physicians, like yourself, to assist in these panel hearings. Here are some of the specific information you need to know about Panel Appeal Hearings: • Block off 1 hour of your time • Most hearings last no more than 30 minutes • Receive higher compensation for Panel Appeal Hearings • Write up a report following the hearing • Follow the rules outlined by the client regarding the cadence of the call • Be an expert in the treatment of the covered person’s medical condition that is the subject of the external review. • Be knowledgeable about the recommended health care service or treatment through recent or current actual clinical experience treating patients with the same or similar medical condition of the covered person. • Specialty match PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment. Apply Job!