Radiation Therapy Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer, Radiation Therapy.

Key Responsibilities

• Review provider requests for supporting documentation and request additional information as needed
• Authorize services or procedures based on clinical guidelines and refer requests that do not meet guidelines to a physician reviewer
• Ensure compliance with regulatory guidelines and maintain professional relationships with providers and office staff

Required Qualifications and Education

• Current and in good standing American Registry of Radiologic Technologists (ARRT) certification
• 2 - 4 years of experience in Utilization Management (preferred)
• Strong computer skills in Microsoft Office, EMR, and other relevant software
• Ability to work in a fast-paced environment
• Compliance with HIPAA requirements and company policies