Physician Reviewer - Orthopedic Surgeon - WA L&I at Blank Street

Bellevue, Washington, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Insurance, Workers CompensationIndustries

Requirements

Orthopedic Surgeon with relevant clinical expertise
Washington State medical license (preferred)
Certification, or willingness to become certified, with Washington State Department of Labor and Industries (L&I)
Ability to conduct in-person exams in Bellevue, WA (with potential additional locations)
Maintain proper credentialing, state licenses, and any special certifications required for the role
Availability for multiple exams per day and video recording of approximately 15% of exams

Responsibilities

Review all medical records and address each client question using client-specific criteria or nationally recognized evidence-based guidelines
Ensure rationale for determinations is clear, concise, and supported by adequate documentation
Identify, critique, and utilize current criteria/resources (e.g., national/state/professional guidelines, peer-reviewed literature) for objective decision-making; avoid case studies or limited sample sizes
Provide copies of any criteria used in reviews with the report in a timely manner
Return cases on or before the due date and time
Make telephone calls as mandated by state or client requirements
Maintain proper credentialing, state licenses, and special certifications
Attend all required orientation and training
Perform other duties as assigned, including addressing quality assurance issues, complaints, regulatory matters, depositions, court appearances, or audits
Conduct in-person exams, utilizing clinical expertise to interpret medical necessity of services in insurance appeals, prospective, and retrospective claims

Skills

Key technologies and capabilities for this role

Orthopedic SurgeryMedical Record ReviewUtilization ReviewInsurance AppealsEvidence-Based GuidelinesClinical ExpertiseWA Medical LicenseL&I CertificationPeer-Reviewed Literature

Questions & Answers

Common questions about this position

What is the compensation structure for this role?

Reviewers are compensated on a per-case basis as a 1099 independent contractor.

Is this position remote or on-site?

This is an on-site position with in-person exams to be conducted in Bellevue, WA.

What qualifications or certifications are required?

Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department of Labor and Industries (L&I). A background as an Orthopedic Surgeon is required for this Physician Reviewer role.

What are the key responsibilities of the Physician Reviewer?

The role involves reviewing medical records, insurance appeals, and claims using evidence-based guidelines, providing clear rationales for decisions, and maintaining credentials while meeting turnaround times.

What support does the company provide for this role?

You can customize your schedule and caseload, Dane Street pays for reasonable travel expenses, assists with obtaining WA L&I certification, and exams may include video recording for about 15% of cases.

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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