Physician / Otolaryngology / Delaware / Permanent / Otolaryngology-Independent Medical Examiner (IME)
Dane Street, LLC
Not Specified, DE, USA
Not Specified, DE, USA
- Healthcare
- Full-time
- Independent Medical Exam
- Physician Reviewer
- Otolaryngology
The Physician Reviewer/Advisor for Independent Medical Exams (IME) evaluates medical necessity and reviews insurance appeals and claims using clinical expertise. This role requires interpreting healthcare service documentation in line with client policies and evidence-based guidelines. The position supports accurate medical assessments for insurance and compliance purposes.
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will 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.




