Internal Medicine Physician, Independent Medical Exams

Job overview

The Internal Medicine Physician, Independent Medical Exams role is an in-person opportunity for physicians in Delaware, with the listing location in Seaford, DE. Compensation is not specified; reviewers are compensated per case. Dane Street is expanding its physician panel to provide independent medical review and advisory services. The physician reviews medical records and insurance appeals and evaluates the medical necessity of services using client criteria, evidence-based guidelines, and standards of care. The role provides clear, supported determinations that help clients make informed claims and utilization decisions; no treatment or doctor-patient relationship is involved.

What you'll do

• Review medical records and address client questions using client-specific or nationally recognized evidence-based criteria
• document clear rationales with supporting information
• use current guidelines and peer-reviewed literature
• provide criteria with reports
• return cases by deadlines
• make telephone calls when required by state or client
• maintain credentials and licenses
• attend required orientation and training
• respond to quality assurance, complaints, regulatory issues, depositions, court appearances, or audits as assigned.

What we're looking for

Skills & competencies

physician

internal medicine

independent medical exams

medical record review

insurance appeals

medical necessity review

evidence-based guidelines

per-case compensation

schedule flexibility

delaware

dane street

board certification required

active practice required

Work arrangement

• Weekend coverage required

Benefits & perks

• Flexible schedule and case volume, fully prepared cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal.

Why this role

Independent contract reviewer compensated per case; flexible case volume and schedule; board certification and active practice required. The posting identifies Internal, Family, or Occupational Medicine and also references a CA license while seeking providers in Delaware.

About the employer

Dane Street, LLC is hiring for this role. Industry: All Other Insurance Related Activities. Sector: 52.