What are the responsibilities and job description for the Telehealth Physician position at GoToTelemed?
GoTo Telemed is seeking experienced, licensed Physicians (MDs and DOs) to join our growing network of independent telehealth providers. This is a flexible, 1099 independent contractor opportunity allowing you to practice medicine across multiple states with complete autonomy over your schedule. We provide comprehensive support infrastructure including training, HIPAA-compliant digital platforms, EHR/EDI systems, and optional malpractice insurance coverage, allowing you to focus on delivering quality patient care.
Position Type: 1099 Independent Contractor
Work Schedule: Flexible – Set Your Own Hours
Location: Remote (Multi-State, U.S.)
Compensation Structure: Fee-for-Service Model
CORE JOB RESPONSIBILITIESClinical Care Delivery- Conduct comprehensive virtual consultations via secure HIPAA-compliant video conferencing platform (GoTo Telemed)
- Assess patient presenting complaints, medical history, allergies, current medications, and relevant clinical symptoms
- Perform appropriate clinical decision-making and differential diagnosis using available telehealth examination techniques
- Provide evidence-based medical evaluation, treatment recommendations, and prescriptions as clinically appropriate
- Document all clinical encounters accurately and timely in integrated Electronic Health Records (EHR) system
- Generate and transmit prescriptions electronically through certified pharmacy networks
- Communicate findings and treatment plans clearly to patients, ensuring informed consent and patient understanding
- Establish appropriate diagnostic and follow-up plans aligned with standard of care
- Maintain professional communication and clinical documentation standards across all patient interactions
- Maintain active, unrestricted medical license(s) in all states where patient care is delivered
- Comply with the Interstate Medical Licensure Compact (IMLC) pathway requirements where applicable
- Ensure DEA registration in all states where controlled substance prescribing occurs
- Verify state-specific telehealth regulations and patient location requirements prior to each consultation
- Maintain current knowledge of state-specific scope of practice, billing regulations, and telehealth-specific compliance rules
- Adhere to federal HIPAA Privacy Rule, Security Rule, and Breach Notification requirements
- Comply with the Ryan Haight Consumer Protection Act for controlled substance prescribing via telehealth
- Utilize GoTo Telemed video conferencing and appointment scheduling system proficiently
- Access and document patient information in integrated EHR system (GoTo Telemed platform)
- Understand and comply with EDI (Electronic Data Interchange) standards for claims submission and eligibility verification
- Maintain competency with secure messaging, appointment reminders, and patient communication features
- Troubleshoot basic technical issues; escalate technical problems to platform support team
- Protect patient privacy and maintain confidentiality within digital environment
- Complete all mandatory HIPAA and platform-specific security training
- If applicable, collaborate with assigned RN/LPN supervisory staff for patient screening, triage, and care coordination
- Communicate clinical decisions clearly to nursing team
- Ensure supervision meets state regulatory requirements for nurse-physician relationships
- Participate in case conferences and clinical consultations as needed
- Maintain professional documentation of all supervised encounters
- Complete comprehensive onboarding and platform training program
- Participate in ongoing competency assessments and quality improvement initiatives
- Respond to peer review and credentialing inquiries within required timeframes
- Maintain current certifications, licenses, and Board Certification status
- Engage in continuing medical education (CME) as required by state medical boards and professional standards
- Adhere to evidence-based clinical guidelines and best practices in telehealth
- Participate in quality audits, chart reviews, and compliance monitoring activities
- Report clinical or technical issues that may impact patient safety immediately
- Submit accurate timesheets, encounter documentation, and billing records
- Maintain organized records of patient consultations for compliance and malpractice insurance purposes
- Communicate availability and scheduling changes proactively
- Respond promptly to administrative inquiries and requests from GoTo Telemed operations team
- Comply with all contract terms, compensation terms, and payment processing requirements
- Maintain proper business records and invoicing documentation as 1099 contractor
- Fee-for-Service Structure: Per-consultation compensation model
- Rate Range: Compensation varies based on complexity, specialty, state, and experience
- Payment Schedule: Bi-weekly via direct deposit or ACH transfer
- Billing Responsibility: GoTo Telemed handles claims submission and payer management; contractor receives guaranteed compensation regardless of payer denials (where applicable per contract)
- No Traditional Benefits: As a 1099 independent contractor, you are responsible for all benefits
- Health Insurance: You must secure your own health insurance (not provided)
- Retirement Planning: You are responsible for retirement savings (SEP-IRA, Solo 401k, etc.)
- Tax Responsibility: You are responsible for federal income taxes, self-employment taxes, and quarterly estimated tax payments
- Work Expenses: You bear the cost of supplies, technology, and office setup
- Professional Liability Insurance Program: Discounted group malpractice insurance rates available (contractor responsible for premium; subsidized rates offered)
- Platform Access: Complete HIPAA-compliant telehealth infrastructure provided at no cost
- EHR/EMR System: Integrated Electronic Health Records system with EDI capabilities included
- Comprehensive Training: Initial onboarding, platform training, and ongoing compliance education provided
- Credentialing Support: Assistance with medical board verification, DEA registration, and multi-state licensing navigation
- 24/7 Technical Support: Dedicated platform support team for technical and operational issues
- Flexible Scheduling: Complete autonomy over work hours and patient volume
- Network Benefits: Access to GoTo Telemed provider network and patient matching system
- Ability to sit for extended periods during virtual consultations (4-8 hours per day)
- Clear speech and hearing capability for video and phone consultations
- Visual acuity sufficient to read medical records and patient information on computer screens
- No physical limitations preventing secure documentation and medical decision-making
- Private, HIPAA-compliant workspace with secure internet connectivity
- Professional background and minimal distractions visible on video
- Reliable computer or tablet with camera and microphone capabilities
- Backup internet connection or mobile hotspot recommended for reliability
- Compliance with patient confidentiality standards (closed doors, secure space, no family members visible)
- Flexible scheduling with ability to set your own hours
- Responsiveness to scheduling requests and patient needs
- Availability for urgent/same-day consultations when contracted
- Participation in on-call rotations or scheduled availability blocks (varies by agreement)
- Ability to accommodate patient time zones across multiple states
- Reasonable notice for unavailability and schedule changes
- Expert-level medical knowledge appropriate to specialty or primary care
- Proficiency in diagnostic reasoning and clinical decision-making
- Understanding of telemedicine-specific clinical limitations and appropriate patient selection
- Knowledge of prescription medications, drug interactions, and contraindications
- Ability to recognize emergency situations requiring in-person or emergency department evaluation
- Familiarity with telehealth billing codes (CPT, E/M code selection, HCPCS codes)
- Knowledge of Medicare, Medicaid, and commercial insurance policies related to telehealth
- Comprehensive understanding of HIPAA Privacy, Security, and Breach Notification Rules
- Knowledge of state medical practice acts and scope of practice limitations
- Understanding of controlled substance prescribing regulations and DEA requirements
- Familiarity with state-specific telehealth laws and patient location requirements
- Knowledge of standard medical liability and malpractice insurance requirements
- Understanding of medical record documentation requirements and retention policies
- Knowledge of business associate agreements and data security standards
- Proficiency with video conferencing platforms and screen sharing
- Comfortable with EHR/EMR navigation and medical record documentation
- Basic understanding of EDI standards and claims submission processes
- Ability to troubleshoot basic technical issues independently
- Proficiency with email, scheduling software, and digital documentation
- Ability to maintain secure data handling practices
- Comfort learning new digital tools and platforms
- Strong written and verbal communication abilities
- Professional judgment and ethical decision-making
- Self-motivation and ability to work independently
- Reliability and consistent professionalism
- Problem-solving ability in ambiguous or complex situations
- Attention to detail in documentation and clinical care
- Adaptability to changing regulations and platform updates
- Commitment to patient safety and quality improvement
- All patient interactions must comply with HIPAA Privacy Rule regarding use and disclosure of Protected Health Information (PHI)
- Security Rule standards require implementation of safeguards for ePHI (electronic PHI) including encryption, access controls, and audit logs
- Contractors must maintain Business Associate Agreement compliance with all vendors and subcontractors
- Breach Notification Rule requires immediate reporting of any suspected data breaches or unauthorized ePHI disclosures
- All communications must occur through HIPAA-compliant channels (GoTo Telemed platform, not personal email/text)
- Patient consent must be documented for all telehealth services and maintained per retention requirements (minimum 6 years)
- Workforce security training is mandatory annually
- Clinical Quality Metrics: Adherence to evidence-based care guidelines and appropriate diagnostic protocols
- Documentation Standards: Timely, complete, and accurate medical record documentation meeting medical record standards
- Patient Safety: Zero tolerance for medical errors; immediate escalation of adverse events or near-misses
- Response Time: Prompt response to patient messages, lab results, and administrative requests (within 24 hours typical)
- Customer Satisfaction: Patient satisfaction scores maintained at 4.0 /5.0 rating threshold
- Compliance Audits: Passage of periodic medical record audits and quality reviews
- Appointment Timeliness: Virtual consultations begin on time; appointment slots filled as scheduled
- Scope of Practice: Consultations limited to appropriate diagnoses and treatments; proper referral for out-of-scope conditions
- Prescription Appropriateness: Prescriptions align with evidence-based guidelines; controlled substance prescribing follows federal/state regulations
- Continuity of Care: Appropriate follow-up plans and coordination with primary care providers when applicable
- Maintain professional demeanor in all patient and staff interactions
- Treat all patients with respect regardless of demographics or social factors
- Avoid conflicts of interest and disclose any potential conflicts
- Maintain confidentiality in all clinical and business matters
- Comply with anti-bribery and anti-kickback regulations
- Report violations of compliance policies immediately to management
- Participate cooperatively in peer review, audits, and quality improvement initiatives
- Respond promptly to compliance inquiries and investigations
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from accredited institution
- Active, unrestricted medical license in at least one U.S. state
- Current, valid DEA registration (or eligibility to obtain)
- Unrestricted medical license with no disciplinary history, sanctions, or criminal convictions
- Completion of accredited medical education program
- Minimum 2 years post-graduate clinical practice experience (residency and/or clinical practice)
- Experience in primary care, urgent care, internal medicine, family medicine, or telehealth preferred
- Demonstrated clinical competency in virtual patient assessment and diagnosis
- Experience managing common acute and chronic conditions via telemedicine
- Proficiency with video conferencing technology and digital platforms
- Understanding of HIPAA regulations, patient privacy, and secure data handling
- Familiarity with EHR systems and basic EMR navigation
- Reliable, high-speed internet connection (minimum 10 Mbps upload/download speeds recommended)
- Access to private, secure workspace free from patient confidentiality breaches
- Competency with email, scheduling systems, and basic computer applications
- Valid malpractice/professional liability insurance (contractor responsible; GoTo Telemed offers optional coverage with preferred rates)
- Clean background check and DEA/medical board verification
- Ability to obtain Interstate Medical Licensure Compact (IMLC) license(s) if multi-state practice intended
- Current BLS (Basic Life Support) certification or ability to obtain within 30 days of hire
- Commitment to continuous compliance monitoring and quality improvement
- Excellent verbal and written communication skills
- Ability to clearly explain complex medical information to diverse patient populations
- Professional demeanor and strong patient rapport-building abilities
- Ability to work independently with minimal supervision
- Responsive to patient questions and clinical concerns
- Strong time management and organizational skills
- Board Certification or Board Eligible status in relevant medical specialty
- Prior telehealth/telemedicine practice experience
- Multi-state licensure (IMLC compact member states preferred)
- Experience with rural or underserved patient populations
- Experience prescribing controlled substances via telemedicine
- Familiarity with specific EHR platforms (Epic, Cerner, Athenahealth)
- Advanced clinical certifications (ACLS, PALS, etc.)
- Experience with remote patient monitoring (RPM) technologies
- Bilingual or multilingual capabilities
- Maintenance of current, unrestricted medical license(s) in all practice states
- Current DEA registration with no restrictions or sanctions
- Maintenance of professional liability insurance meeting minimum coverage thresholds
- Clean background check with no criminal convictions or pending charges
- No disciplinary actions by state medical boards or licensing agencies
- Verification of educational credentials and training completion
- Privileging and credentialing reviews completed every 2 years
- Immediate notification to GoTo Telemed of any licensing, regulatory, or legal actions
- Compliance with Ryan Haight Consumer Protection Act for prescribing controlled substances via telemedicine
- DEA registration required in all states where controlled substances are prescribed
- Patient consent and identity verification required prior to prescribing controlled substances
- Prohibition of prescribing controlled substances for first-time encounters without in-person evaluation (except per federal exceptions)
- Compliance with state-specific controlled substance prescribing laws and prescription monitoring program (PMP) registration
- Appropriate use of urine drug screens and compliance monitoring for chronic pain management
- Documentation of medical necessity for all controlled substance prescriptions
- Awareness of opioid prescribing guidelines and addiction prevention standards
- Complete medical record documentation within 24 hours of patient encounter
- Comprehensive encounter notes including: chief complaint, history of present illness, past medical/surgical/medication history, allergies, assessment, and plan
- Appropriate E/M code documentation supporting billing level (99212-99215 for established patients, 99201-99205 for new patients)
- Legible, organized documentation free of jargon or abbreviations unless standardized
- Proper patient identification, date/time stamp, and provider signature on all records
- Retention of all medical records for minimum 7 years post-encounter (state-specific requirements vary)
- Secure backup of all documentation on GoTo Telemed platform (contractor responsibility for external records)
- Right of access: patients have the right to access, amend, and receive copies of their medical records
- Accurate coding using appropriate CPT, HCPCS, and ICD-10 codes for all services rendered
- Compliance with Medicare, Medicaid, and commercial payer billing guidelines
- Prohibition of billing for non-delivered or substandard services
- Compliance with the Anti-Kickback Statute and Stark Law
- Accurate reporting of all services to applicable insurers and patients
- Cooperation with insurance pre-authorization and verification requirements
- Prompt response to claim denials and requests for additional documentation
- No billing for services waived or not rendered
- Compliance with patient financial responsibility policies and transparent billing practices
- Maintenance of professional liability insurance with minimum coverage limits as specified in contract
- Prompt reporting of adverse events, patient complaints, or potential litigation to malpractice carrier
- Cooperation with malpractice insurance defense and claim management
- Compliance with risk management best practices and patient safety protocols
- Documentation of all patient incidents and complaints for risk management purposes
- No admission of liability or settlement of claims without consultation with malpractice carrier
- Awareness of state-specific malpractice insurance requirements and coverage thresholds