Physician Reviewer – Texas Counter Affidavit Work, Orthopedic Surgery

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews • Provides copies of any criteria utilized in a review with the report in a timely manner • Returns cases on or before the due date and time • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job (TX license is Required) • Attends all required orientation and training • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

🎯 Requirements

• Candidates must be an Orthopedic Surgeon in the Dallas or Houston area • hold a TX License • testimony/deposition/counter affidavit work experience • access to a TX notary or be readily available for online notaries.

🏖️ Benefits

• We offer generous Paid Time Off • excellent benefits package and a competitive salary • Apple equipment and media stipend is provided for remote work space • Come up to speed quickly with our strong training program!