Board Certified-(M.D, D.O) Ohio Orthopedic Advisor-Certified for IME

From the employer’s posting

As Physician Reviewer/Advisor you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: Reviews all medical records and addresses each question posed by the…