Physician Clinical Reviewer – Dermatology
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Job Description
Physician Clinical Reviewer specializing in Dermatology at Prime Therapeutics. Responsible for reviewing clinical service requests and interacting with healthcare providers in the remote capacity.
Responsibilities:
- Review medical service requests for adherence to medical necessity guidelines
- Interact with physicians and health plan members as needed
- Ensure accurate documentation of all communications
- Assist in training of initial clinical reviewers
Requirements:
- 5+ years of experience in clinical review
- DO, MBBS, or MD degree
- Eligible to work in the United States
- Familiarity with medical/clinical review guidelines
- Ability to communicate effectively with medical providers
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
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