Remote Hematology/Oncology Physician Reviewer — Contract

Dane Street, LLC; United States; Remote; USD 80,000 - 150,000; Part time

Job summary

Dane Street, LLC offers a telework opportunity for a physician reviewer specializing in Hematology/Medical Oncology. The role involves reviewing medical claims and interpretations based on client-specific criteria while adhering to turnaround times.

Responsibilities include analyzing medical records, ensuring documentation supports decisions, and staying up-to-date with clinical guidelines. Candidates must maintain their medical licenses and be adept at handling insurance appeals.

Qualifications

• Must have strong clinical expertise to interpret medical necessity.
• Experience in reviewing insurance appeals and claims is essential.
• Maintaining proper licensing and certifications is required.

Responsibilities

• Review medical records using client-specific and evidence-based criteria.
• Provide clear rationale for decisions and ensure proper documentation.
• Identify and utilize current guidelines to support decision-making.

Skills

Clinical expertise

Medical record review

Knowledge of insurance policies

Education

Medical degree with specialization in Hematology/Oncology

Job description

Dane Street, LLC offers a telework opportunity for a physician reviewer specializing in Hematology/Medical Oncology. The role involves reviewing medical claims and interpretations based on client-specific criteria while adhering to turnaround times.

Responsibilities include analyzing medical records, ensuring documentation supports decisions, and staying up-to-date with clinical guidelines. Candidates must maintain their medical licenses and be adept at handling insurance appeals.