Join Dane Street as a Medical Oncology Physician Reviewer, where you can customize your schedule while providing critical reviews of medical necessity for oncology services. This telework role offers flexibility and the opportunity to impact patient care through thorough and evidence-based evaluations.
Key Responsibilities
Review medical records and claims for medical necessity
Provide clear rationale for determinations
Utilize nationally recognized guidelines in reviews
Conduct peer-to-peer calls as required
Maintain proper credentialing and state licenses
Attend required orientation and training
Required Qualifications
Medical degree (MD or DO)
Active medical license in the relevant state
Clinical expertise in oncology
Experience in reviewing insurance appeals and claims