Remote Hematology/Oncology Physician Reviewer (Stem Cell)

Dane Street; Washington (District of Columbia); Remote; USD 110,208 - 165,312; Part time

Job summary

A leading telehealth provider in Washington, D.C. is seeking a physician reviewer specializing in hematology/medical oncology. The role allows for flexible scheduling while ensuring compliance with client criteria and nationally recognized guidelines. Responsibilities include reviewing medical records, providing clear rationales for decisions, and ensuring timely case returns. Strong clinical expertise and a valid medical license are required, along with experience in handling insurance appeals and claims. This position is compensated on a per-case basis as an independent contractor.

Qualifications

• Must possess a valid medical license in the relevant state.
• Experience with insurance appeals and claims reviewing is required.
• Ability to interpret medical necessity of services.

Responsibilities

• Review all medical records and address client questions.
• Ensure clear rationale and documentation for decisions.
• Utilize current criteria and guidelines effectively.
• Maintain proper credentialing and licenses.
• Attend required orientation and training.

Skills

Clinical expertise in hematology/medical oncology

Experience in reviewing medical records

Strong communication skills

Knowledge of evidence-based guidelines

Job description

A leading telehealth provider in Washington, D.C. is seeking a physician reviewer specializing in hematology/medical oncology. The role allows for flexible scheduling while ensuring compliance with client criteria and nationally recognized guidelines. Responsibilities include reviewing medical records, providing clear rationales for decisions, and ensuring timely case returns. Strong clinical expertise and a valid medical license are required, along with experience in handling insurance appeals and claims. This position is compensated on a per-case basis as an independent contractor.