Join Dane Street as a Transplant Physician, where you will leverage your clinical expertise to review medical records and insurance claims, ensuring compliance with evidence-based guidelines while enjoying a flexible work schedule.
Key Responsibilities
Review medical records and insurance claims for medical necessity
Conduct peer communications and maintain credentials
Adhere to regulatory and client requirements
Provide clear and concise rationale for determinations
Utilize evidence-based guidelines in decision-making
Complete reviews within mandated turnaround times
Required Qualifications
Medical degree (MD or DO)
Specialization in bone marrow and stem cell transplant medicine
Valid state medical license
Experience in medical record review and insurance claims