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Ophthalmology Physician

Date Posted: May 17, 2026
Yearly: USD - USD

Job Detail

  • location_on
    Location United States of America
  • desktop_windows
    Job Type: Permanent
  • schedule
    Shift:
  • analytics
    Career Level:
  • group
    Positions:
  • calendar_view_day
    Experience:
  • male
    Gender: No Preference
  • school
    Degree:
  • calendar_month
    Apply Before: Jun 17, 2026

Job Description

Overview

Dane Street is seeking an Ophthalmology Physician to work as a telehealth reviewer. The position allows for customizable schedules and caseloads while ensuring adherence to client turnaround times. Reviewers will assess the medical necessity of services in accordance with established guidelines and standards of care.

Key responsibilities

  • Utilize clinical expertise to review insurance appeals and claims
  • Interpret medical necessity of healthcare services according to client policies
  • Review medical records and answer client questions using evidence-based criteria
  • Provide clear, concise rationales for decisions with adequate supporting documentation
  • Utilize current national and state guidelines and peer-reviewed literature for decision-making
  • Make necessary telephone calls as mandated by clients or state requirements
  • Complete cases efficiently, maintaining turnaround times
  • Maintain proper credentialing, licenses, and required certifications
  • Attend mandatory orientation and training sessions
  • Identify and address quality assurance issues or regulatory concerns

Required skills

  • Healthcare & Medical expertise
  • Experience with medical review and insurance claims
  • Familiarity with clinical guidelines and documentation
  • Knowledge of healthcare compliance and evidence-based medicine
  • Telehealth experience
  • Strong decision-making and analytical skills

What the company offers

  • Flexible scheduling as a 1099 independent contractor
  • Compensation based on a per-case basis
  • Flat rate offered for Group Health Record/Policy Reviews

Skills Required

Company Overview

Vermont, United States of America

Dane Street is dedicated to providing high-quality independent medical evaluations and solutions in the healthcare sector. With a focus on flexibility and professional standards, the company supports healthcare professionals in leveraging their exper... Read More

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