Remote Physician Advisor - Utilization & Denials Expert
Ascension Wisconsin Corporate Office
- Remote job
Ascension Health in Wichita, KS is hiring a Physician Advisor to lead utilization management and engage in denial mitigation for the patient care process. The role necessitates a Doctor of Medicine (MD) or Doctor of Osteopathy (DO) and at least 5 years' experience in a hospital setting. You will work remotely with occasional onsite presence required. Benefits include comprehensive health coverage, retirement plans, and ongoing professional development opportunities. #J-18808-Ljbffr Ascension Health
$250k - $350k
A leading healthcare provider in Washington DC is seeking a Physician Advisor to optimize resource use, ensure timely patient care, and manage clinical denials. Responsibilities include reviewing patient status, leading interventions, and providing education to clinicians...Suggested- Northeast Georgia Health System is looking for a Physician Advisor to join their Revenue Cycle team remotely from Georgia. This role requires a Medical Degree... ...supporting physician education, participating in Utilization Review, and managing complicated cases to improve...Remote job
- A healthcare solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and conduct physician-to-physician reviews. The candidate will support utilization review and ensure adherence to medical necessity criteria. Qualifications include...Remote job
- Ascension is seeking a Physician Advisor in Wichita, KS. The ideal candidate... ...in Physician Advisory and Utilization Management. Responsibilities... ...reviewing medical records, managing denial processes, and educating... ...a full-time schedule with remote work, along with a...Remote jobFull time
$105 - $115 per hour
EPITEC is seeking a Physician Reviewer to evaluate clinical service requests and utilize medical expertise for decision-making. The role is non-patient-facing and involves... .... This position offers flexible hours, fully remote work (excluding CA, NY, HI, or AK), and...Remote jobHourly payFlexible hours- A healthcare provider in Washington DC is seeking a Physician Advisor for a hybrid role at two hospitals. The ideal candidate will leverage medical expertise to enhance patient care, manage clinical denials, and comply with regulatory requirements. This position demands...
- A community-focused healthcare provider in Woodbridge, VA is seeking a Physician Advisor to conduct medical necessity reviews and manage denials. The successful candidate will work closely with medical staff and provide education regarding hospital regulations. An active...
$280k - $300k
A leading healthcare organization in Danbury, Connecticut is seeking a Physician Advisor Lead to provide clinical leadership in utilization management and enhance patient care. This role involves overseeing a team of physician advisors, guiding hospitalization processes...- AdventHealth Orlando Support is seeking a full-time Physician Advisor in Orlando, Florida. This role involves educating and advising various departments on utilization management and regulatory compliance. The ideal candidate will have an MD degree, a Florida state license...Full time
- MercyOne is looking for a dynamic, board-certified Physician Advisor in Des Moines, IA. The role requires inpatient clinical experience and strong knowledge of CMS and commercial insurance regulations. Candidates should possess a collaborative mindset and have experience...
- ...12 Avenue, Miami, FL 33136 (Remote and/or Hybrid) Hours : Variable... ...Position Summary: • The Physician Advisor (PA) serves as a clinical... ...and resolution of utilization issues. • The PA role reports... ...justify admissions and overturn denials as appropriate, including peer...Remote workDaily paid
- ...The Physician Advisor provides physician-to-physician reviews, clinical guidance... ...and appropriate resource utilization. Key Responsibilities... ...necessity, level of care, and denial prevention/appeals... ...cycle teams Experience in a remote or consulting healthcare environment...Remote work
$198k - $297k
...hospitals and affiliated physician groups. They offer... ...The Physician Advisor provides leadership... ...managing resource and utilization to deliver quality cost... ...as subject matter expert Assist with denials and appeals as appropriate... ...Top Workplace for Remote Work 2024 Great...Remote workLocal area- ...Regional Physician Advisor Sentara Health is seeking to hire a qualified individual... ...supports the Clinical Revenue Cycle's Utilization Review and Denials/Appeals processes to determine and... ...For positions that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workDay shift
- ...Overview: The On-Site Physician Advisor (OSPA) conducts timely and compliant... ...reviews and assists with denials management (facilitating and... ...of the centralized system Utilization Review (UR) process for... ...positions that are available as remote work, Sentara Health...Remote workFull timeTemporary workShift work
- ...Overview: Overview: The Physician Advisor conducts timely and... ...necessity reviews and assists with denials management (facilitating and... ...of the centralized system Utilization Review (UR) process for... ...positions that are available as remote work, Sentara Health...Remote workTemporary workShift work
- ...Description Position Summary Details Physician Advisors provide concurrent review and appeal... ...execute and deliver. Experience with utilization management and understanding of state... ...regulations, knowledge about the denials and appeals process, and experience with...Remote workFull timeContract workPart timeHome office
- ...Health Medical Group Remote Charlotte, North... ...Join Atrium Health as a Physician Advisor-part of Advocate Health, one... ...Georgia Minimum two years of Utilization Management or similar... ...length of stay management, denials management, audit, appeals,...Remote workFull timeWork at officeRelocation packageFlexible hours
- ...Physician Advisor - Utilization Mgmt Job Summary: Provides medical leadership for the Department by assisting... ...directors. Provide subject matter expert guidance regarding utilization... ...collaboratively with Revenue Integrity to reduce denial and appeal burdens and increase...Contract workNight shift
- Overview: The Physician Advisor conducts timely and compliant medical necessity... ...reviews and assists with denials management (facilitating and... ...of the centralized system Utilization Review (UR) process for... ...positions that are available as remote work, Sentara Health employs...Remote workTemporary workShift work
- ...Case Management Subspecialty : Physician Advisor Schedule : Full Time | Remote (with some on‑site presence required... ...with some Physician Advisory/ Utilization Management work experience. If you... ...areas of utilization management and denial mitigation, including but not...Remote workFull timeTemporary workWork experience placementLocal area
- ...: Case Management Subspecialty: Physician Advisor Schedule : Full Time | Remote (with some on-site presence required... ...with some Physician Advisory/ Utilization Management work experience. If you... ...of utilization management and denial mitigation, including but not limited...Remote workFull timeWork experience placementLocal area
- ...organization is seeking an experienced Physician Advisor to lead quality performance across the... ...with clinical documentation and utilization standards. Responsibilities include consulting... ...physicians, managing utilization and denials processes, and providing education to...
$241k - $290.06k
...health care organization in New York is looking for a Physician Advisor to join its Utilization Management team. This role involves direct patient care... ...related to regulatory compliance, hospital coding, and denial management. Candidates should have board certification...$175 per hour
...mission-driven, board-certified Addiction Medicine Physician to join our clinical team. This remote and part-time role involves providing direct member... ...will work collaboratively in a high-tech environment, utilizing AI-powered tools for efficiency, and engage in continuous...Remote workHourly payPart time$130 - $140 per hour
...Physician, Inpatient Denials Management (FT/M-F/REMOTE) Join to apply for the Physician, Inpatient Denials Management (FT/... ...hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will...Remote workFull timeContract workPart timeReliefWork at officeWork from homeMonday to FridayShift work$128.5k - $298.1k
...Physician Advisor Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule A varied schedule; Monday - Friday, including some weekends... ...flow/throughput management, ancillary services utilization and clinical documentation improvement. The...Remote workMonday to FridayFlexible hours$145k - $199.07k
...and workflow orchestration. As our Physician Advisor , you will help our client facilities... ...is essential for excelling in this remote position. Here's what you will experience... ..., and resolution of documentation and utilization issues. Required Skills: Active,...Remote workLocal area- ...Job Purpose The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the... ..., case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital...Remote workWork at officeLocal areaShift work
- ...An innovative recruitment firm is looking for a Denials & Revenue Recovery Specialist to handle denied and underpaid insurance claims in a fully remote role. You will manage denial queues and ensure high accuracy in recovery processes. Ideal candidates have a background...Remote workHourly payTemporary work
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