As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records and provide an independent, professional opinion on the claimant’s functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability.
Requirements
- Accepts cases, reviews all medical records, and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria, and opines on disability status
- Ensures a clear rationale for the determination that is concise and contains adequate supporting documentation to substantiate the decision
- Identifies and employs 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
- Provides a report and copies of any criteria utilized within the review promptly
- Returns cases on or before the due date and time specified
- Completes peer-to-peer calls/call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification
- Performs other duties as assigned, including addressing any necessary clarification, providing addendum as required (with additional compensation,) identifying and responding to potential quality assurance issues, complaints, and regulatory issues
Benefits
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours
- Enhanced industry 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 a user-friendly work portal