Board-Certified Family Practice Specialist for IME- Hazel Park, MI at Blank Street

Hazel Park, Michigan, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Hold a MI license
Board Certified in Family Medicine
Experience in completing Independent Medical Exams
Independent Medical Exam must be completed within 50 miles of Hazel Park, MI
Board certification required
Active practice required
Maintain proper credentialing, state licenses, and any special certifications or requirements necessary to perform the job

Responsibilities

Utilize clinical expertise to review insurance appeals, and prospective and retrospective claims
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
Review all medical records and address each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
Ensure that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
Identify, critique, and utilize 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; refrain from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
Provide copies of any criteria utilized in a review with the report in a timely manner
Return cases on or before the due date and time
Make telephone calls as mandated by the state and/or client specifics
Attend all required orientation and training
Perform other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

Skills

Key technologies and capabilities for this role

Family MedicineIndependent Medical ExamsIMEInsurance Appeals ReviewClaims ReviewMedical Necessity DeterminationUtilization ReviewEvidence-Based GuidelinesMedical Records ReviewClinical Expertise

Questions & Answers

Common questions about this position

What is the compensation for this position?

This is a 1099 independent contractor role compensated on a per-case basis.

Is this a remote or on-site position?

It is described as a telework opportunity, but Independent Medical Exams must be completed within 50 miles of Hazel Park, MI.

What qualifications and skills are required for this role?

Candidates must hold a MI license, be Board Certified in Family Medicine, have experience in completing Independent Medical Exams, maintain active practice, and utilize clinical expertise to review insurance appeals and claims using evidence-based guidelines.

What benefits or perks does this position offer?

It offers robust supplemental income, schedule flexibility, predictable work hours, enhanced industry expertise, and expanded credentials as a medical necessity expert.

What makes a strong candidate for this physician reviewer role?

Ideal candidates have a MI license, Board Certification in Family Medicine, experience with Independent Medical Exams, active practice, and the ability to provide clear rationales using evidence-based criteria while meeting deadlines.

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Flexible Work Hours

Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.

Subscription program may not resonate with all customer segments, risking dissatisfaction.

Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.

Small, cost-effective locations reduce overhead and allow competitive pricing.

Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.

Subscription model provides steady revenue and enhances customer loyalty.

Partnerships with lifestyle brands boost brand visibility and customer engagement.

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