Board Certified Physician Reviewer - Orthopedic Spine Surgery - Texas License
RemoteUnited States
Job Summary
Review medical necessity for orthopedic spine surgery treatment requests and appeals using provided medical records and treatment guidelines. Evaluate cases within 15-20 minutes, with typical turn-around times of 1-5 business days. Coordinate peer-to-peer calls for adverse determinations while maintaining advisory-only opinions and no patient-doctor relationships. Utilize a user-friendly portal where Dane Street organizes records, sorts medical files, and handles administrative processes to focus on clinical decision-making. Complete training and onboarding in under a week while maintaining an active practice.
Required Qualifications
- Current, unrestricted Texas Medical License
- Active Practice
- Board Certified in Orthopedic Surgery (Spine)
- Orthopedic Spine Surgery specialty
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