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Board-Certified Family Medicine Specialist for IME- Lee County , FL

Dane Street is expanding our physician panel!  This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

The ideal candidates will hold a FL license and be Board Certified in Internal Medicine. Experience within a wide variety of the scope of Family Medicine is ideal!

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.

MAJOR DUTIES AND RESPONSIBILITIES:

    • 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; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
    • 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
    • Makes telephone calls as mandated by the state and/or client specifics
    • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
    • 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
  • Board certification required, active practice required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. 

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.  

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What You Should Know About Board-Certified Family Medicine Specialist for IME- Lee County , FL, Dane Street, LLC

Are you a Board-Certified Family Medicine Specialist looking for a flexible work opportunity? Join Dane Street as a Physician Reviewer/Advisor for Independent Medical Exams (IME) and enjoy the benefits of teleworking from anywhere! Our unique setup allows you to keep your independence while reviewing a caseload that fits your schedule. With a focus on insurance appeals and prospective and retrospective claims, you will utilize your clinical expertise to determine the medical necessity of services rendered by healthcare professionals. You’ll need a valid Florida license and ideally, strong experience in Family Medicine. In this role, you’ll review medical records, address client questions, and provide concise documentation that supports your determinations, all while adhering to nationally recognized evidence-based guidelines. This isn’t a typical doctor-patient relationship; instead, your assessments contribute to important decision-making processes without established treatment obligations. Enjoy predictable hours, choose your case types, and leverage your insights for supplemental income with minimal administrative hassle—Dane Street handles the logistics like scheduling and transcription services. Elevate your career while enjoying the flexibility and impact of being a physician advisor. Dive into a rewarding experience with the support of an organization committed to your success!

Frequently Asked Questions (FAQs) for Board-Certified Family Medicine Specialist for IME- Lee County , FL Role at Dane Street, LLC
What are the responsibilities of a Board-Certified Family Medicine Specialist at Dane Street?

As a Board-Certified Family Medicine Specialist at Dane Street, you'll be responsible for reviewing medical records, providing interpretations of medical necessity, and addressing client-specific questions in compliance with guidelines. Your expertise will guide the determination of insurance appeals and claims, ensuring that everything is backed by solid evidence-based reasoning to support sound decisions.

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What qualifications are needed to apply for the Board-Certified Family Medicine Specialist position with Dane Street?

To qualify for the Board-Certified Family Medicine Specialist role at Dane Street, candidates must hold an active Florida medical license and be board certified in Internal Medicine. A strong background in Family Medicine is preferred, as you'll be crunching through a variety of medical cases and requirements effectively.

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How does the compensation work for the Physician Reviewer position at Dane Street?

Compensation for the Physician Reviewer position at Dane Street is based on a per-case basis, providing a flexible income opportunity. As an independent contractor (1099), this setup allows you to customize your caseload while ensuring that your financial return reflects your efforts and expertise in reviewing IMEs.

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What does the schedule look like for a Board-Certified Family Medicine Specialist at Dane Street?

At Dane Street, you have the freedom to create your schedule around your life. The Physician Reviewer role allows for flexibility in choosing services and case types while dictating your volume during predictable work hours. This means you can balance your professional and personal life while still contributing significantly to the field.

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Are there any specific training or orientation requirements for the Board-Certified Family Medicine Specialist role at Dane Street?

Yes, all new Board-Certified Family Medicine Specialists at Dane Street must attend required orientation and training sessions. This ensures that you are fully prepared to meet the specific needs and expectations of clients while adhering to regulatory standards in your reviews and assessments.

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Common Interview Questions for Board-Certified Family Medicine Specialist for IME- Lee County , FL
Can you describe your process for reviewing medical records in a timely manner?

When reviewing medical records, I prioritize organization by sorting files systematically, allowing me to address client queries efficiently. I ensure to verify all information is compliant with established guidelines and that I maintain clear documentation throughout.

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How do you ensure that your decisions are evidence-based and sound?

I remain updated with current guidelines and literature. When reviewing cases, I use established criteria and avoid relying on anecdotal evidence to support my decisions, which enhances the credibility of my assessments.

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What strategies do you use to handle multiple cases simultaneously?

I prioritize effective time management and utilize digital tools for tracking case progress. Additionally, I set specific deadlines for each case review to ensure that I meet client expectations and deliver timely results.

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How would you manage a disagreement with a client over a medical necessity determination?

In the event of a disagreement, I would facilitate open communication to discuss the rationale behind my decision. I believe presenting clear, evidence-based reasoning can resolve misunderstandings effectively and maintain professionalism.

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What importance do you place on maintaining your licensure and certifications?

Maintaining my licensure and certifications is paramount, as it not only reflects my commitment to the field but also assures clients of my ability to provide accurate and reliable assessments, which is critical in an advisory role.

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How do you keep up with changes in medical guidelines or regulations?

I subscribe to relevant medical journals and participate in continuous education courses. Being proactive allows me to integrate the latest information into my practice and maintain the quality of my reviews.

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Describe a challenging case you reviewed and how you approached it.

I once encountered a complex case requiring extensive research due to conflicting opinions in medical records. I reached out to colleagues for insights, utilized multiple evidence-based guidelines, and prepared a comprehensive report that clarified my findings.

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What role does teamwork play in your job as a Physician Reviewer?

Though much of my role is independent, I value collaboration with peers. Teamwork can provide diverse insights and foster a more comprehensive decision-making process, enhancing the accuracy of reviews and ultimately benefiting clients.

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How do you handle the emotional pressures that might come with reviewing cases?

I focus on grounding techniques and maintaining professional detachment. Recognizing the importance of my role in the healthcare process helps keep my approach objective, allowing me to make decisions based on facts and evidence.

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What was your motivation for becoming a Physician Reviewer?

I have a strong passion for combining my clinical experience with critical analysis. Becoming a Physician Reviewer allows me to leverage my skills to impact patient care indirectly while enjoying a flexible work environment.

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Headquartered in Boston, MA, Dane Street is a national IME and Peer Review provider to the Workers Compensation, Disability, Auto and Group Health market segments. Thier nationwide panel of active-practice, board-certified health care professional...

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Contract, remote
DATE POSTED
March 21, 2025

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