Radiology Physician Reviewer - NM Licensed - Allentown Pennsylvania

Company: VirtualVocations
Location: Allentown, Pennsylvania
Posted On: 11/07/2024

A company is looking for a Radiology Physician Reviewer - Part Time.



Key Responsibilities

Process Utilization Management (UM) requests, appeals, and reconsiderations
Write denial rationales in compliance with health plan and government agency guidelines
Participate in peer-to-peer conversations with requesting providers as needed


Required Qualifications

Valid and unrestricted Medical License in New Mexico
Board Certified Radiologist
MD, Graduate of a recognized medical degree program
10 or more years of experience in direct patient care after graduating from medical school More...

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