Physician Clinical Reviewer-RBM

Location: Remote
Compensation: Salary
Staff Reviewed: Mon, May 13, 2024
This job expires in: 17 days

Job Summary

A company is looking for a Physician Clinical Reviewer-RBM.

Key Responsibilities:
  • Serve as the Clinical Reviewer in Imaging cases that do not meet medical necessity guidelines
  • Discuss determinations with requesting physicians within regulatory timeframes
  • Provide clinical rationale for standard and expedited appeals

Required Qualifications:
  • MD/DO/MBBS degree
  • Minimum of five years' post-residency experience in Medicine
  • Current, unrestricted clinical license and active Board Certification
  • Obtaining and maintaining medical licenses in the state of residence
  • Strong clinical, management, and organizational skills

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