Job Summary
A review organization has a current position open for a Telecommute Hematology Oncology Medical Reviewer.
Individual must be able to fulfill the following responsibilities:
- Perform utilization reviews for various types of procedures and medications from pre-authorizations to appeals
- Help healthcare payers to reduce claims costs, while ensuring consistent patient coverage
- Apply medical knowledge and expertise
Skills and Requirements Include:
- Must be certified with ABMS (American Board of Medical Specialties) – Hematology Oncology
- Must be in Active Practice (treating patients for at least 8 hours per week
- Must have at least 5 years’ experience providing care to patients in a clinical setting
- Current active and unrestricted (without sanctions) State Medical License
- Strong writing skills, computer literacy, including word processing, web applications and email
- Must type at least 30-40 words per minute – accurately