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Board-Certified Medical Necessity Reviewer

Job in Boston, Suffolk County, Massachusetts, 02298, USA
Listing for: Dane Street, LLC
Part Time position
Listed on 2025-12-11
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Medical Doctor
Job Description & How to Apply Below
Position: Board-Certified Medical Necessity Reviewer — Flexible Hours
A recognized healthcare organization is seeking a Physician Reviewer/Advisor to utilize clinical expertise in the review of insurance appeals and claims. The ideal candidate will provide interpretations regarding the medical necessity of services based on specific client policies and national guidelines. Responsibilities include reviewing medical records, ensuring documentation supports decisions, and maintaining necessary certifications.

This role offers flexibility in schedule and significant opportunities for supplemental income.
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