Physician Reviewers - Hematology/Medical Oncology (Stem Cell Transplant )

Telework opportunity for Physician Reviewers specializing in Hematology/Medical Oncology - Stem cell transplant. Reviews insurance appeals, claims, and provides medical necessity interpretation.

Requirements

• Utilizes clinical expertise to review insurance appeals and claims
• Interprets medical necessity of services provided by other healthcare professionals
• Ensures clear and concise rationale with adequate supporting documentation
• Identifies and utilizes current criteria and resources for sound decision-making
• Maintains proper credentialing, state licenses, and certifications
• Attends required orientation and training

Benefits

• 1099 independent contractor compensation on a per-case basis