Board Certified Physician Reviewers - Medical Oncology

Board Certified Physician Reviewer - Medical Oncology Ability to interpret medical records and evidence-based guidelines Must maintain proper credentialing and state licenses Experience with insurance appeals and claims review

Reviews insurance appeals and claims Interprets medical necessity of services Provides clear, concise, and documented rationales for decisions Utilizes client-specific criteria and evidence-based guidelines Ensures timely completion of reviews Maintains proper credentialing and state licenses Responds to quality assurance issues, complaints, and regulatory issues