Board Certified Medical Oncologist Reviewer

Job Summary

A company is looking for Board Certified Physician Reviewers in Medical Oncology.

Key Responsibilities

• Reviews medical records and addresses client questions using specific criteria
• Ensures clear and concise rationale for determinations with adequate supporting documentation
• Maintains proper credentialing, licenses, and attends required training

Required Qualifications, Training, and Education

• Board certification in Medical Oncology
• Current state medical license
• Experience in reviewing insurance appeals and claims
• Knowledge of nationally recognized evidence-based guidelines
• Ability to work as a 1099 independent contractor