Virtual Physician (1099 Contractor)
RoSalary not specified
Full Time
Junior (1 to 2 years)
Board-Certified Internal Medicine Specialist for Disability IME- Alsip, IL at Blank Street
Alsip, Illinois, United States
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries
Requirements
- Hold an IL license
- Board Certified in Internal Medicine
- Experience with completing Independent Medical Exams for disability claims
- Independent Medical Exam must be completed within 50 miles of Alsip, IL
- Board certification required
- Active practice required
- Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
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
- 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
- Utilize clinical expertise and reviews 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
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the compensation for this role?
This is a contract position compensated on a per-case basis for independent contract reviewers (1099).
Is this position remote or on-site?
This is primarily a telework opportunity, but Independent Medical Exams must be completed within 50 miles of Alsip, IL.
What qualifications and skills are required for this position?
Candidates must hold an IL license, be Board Certified in Internal Medicine, have experience with Independent Medical Exams for disability claims, and maintain active practice. Key skills include utilizing clinical expertise to review insurance appeals and claims, interpreting medical necessity per evidence-based guidelines, and providing clear rationales with supporting documentation.
What benefits or perks does this role offer?
It provides robust opportunity for supplemental income, schedule flexibility, predictable work hours where you choose services and case types, no doctor/patient relationship, enhanced industry expertise, and expanded credentials.
What makes a strong candidate for this Physician Reviewer role?
Ideal candidates have an active IL license, Board Certification in Internal Medicine, experience with disability IME, and the ability to complete exams within 50 miles of Alsip, IL while meeting deadlines and following evidence-based guidelines.
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