Remote Physician Advisor — Denial & Utilization
Indiana University Health
- Remote job
A leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board certification, along with clinical experience in a hospital setting. Responsibilities include liaising between IU Health Revenue Cycle Services and clinical staff, providing clinical expertise related to authorizations and payor denials. Seeking candidates with excellent communication skills and strong leadership abilities to help optimize hospital services and resource utilization. #J-18808-Ljbffr Indiana University Health
- ...and level-of-care decisions. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical... ...organisation UM program. Work Terms Location: Remote Employment Type: Hourly...Remote workHourly payNight shift
- ...Physician Advisor The Physician Advisor provides physician-to-physician... ...practices and appropriate resource utilization. Key Responsibilities... ..., level of care, and denial prevention/appeals Support... ...cycle teams Experience in a remote or consulting healthcare environment...Remote work
- ...Job Title PRN (Remote) Physician Advisor Job Description Ascension in Austin, TX is looking... ...preferably with some Physician Advisory/ Utilization Management work experience. If you... .... Assist and manage the denial management process with peer-to-peer...Remote workTemporary workWork experience placementReliefLocal area
$100 - $150 per hour
...level-of-care determinations. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical... ...UM programs. Work Terms Location: Remote. Employment type: Hourly. Compensation...Remote workHourly payNight shift- ...Manufacturing Sector is seeking an accomplished Utilities Industry Solutions Subject Matter Expert... ...conversationsAct as a trusted industry advisor and deal shaper, influencing scope,... .... We offer the flexibility of a remote role, the scale of a global organization...Remote work
$115k - $220k
...achieve competitive advantage. We represent utilities and other energy firms before their... ...docketed proceedings. As trusted strategic advisors, we work with stakeholders across the... ...year (e.g. holiday periods), additional remote work options are offered to those whose...Remote workWork at officeWork from home3 days per week$248.5k - $373k
...businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care... .... Growing together.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model: Remote (on-site meetings in Daytona Beach, FL ) Overview Seeking an experienced Utilization Management Physician to perform medical...Remote workFull timeRelocation- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations... ...collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient... ...a license to practice in the US. This position offers remote work options and competitive compensation packages,...Remote workFull time
- ...BS/MD Advisor We are looking for highly motivated individuals who are passionate about... ...can take upwards of a year. This is a remote position that requires you to have a reliable... ...Word. Qualifications: MD or DO physician (attending preferred; residents and...Remote workFlexible hours
- Department: Physician AdvisorsLocation: 1611 NW 12 Ave., Miami, FL 3... ...On site).SummaryThe Physician Advisor (PA) serves as a clinical... ...facilitation, and resolution of utilization issues. The PA role reports to... ...admissions and overturn denials as appropriate, including peer...Daily paidWeekend work
$130 - $145 per hour
...Hi, we’re Oscar. We’re hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built... ...Utilization Management. Work Location This is a remote position, open to candidates who reside in the United States...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work- The Physician Advisor is a key member of the healthcare organization’s leadership team and is... ...for assuring the effective, efficient utilization of health care services. The Physician... ...necessity, levels of care, care progression, denial management, compliance with...Contract work
- ...record (EHR) experience for physicians and providers. The award places... ...is seeking a Physician Advisor!Lee Health is a nonprofit organization... ..., review and manage payor denials, assist with documentation... ...and optimize resource utilization through standardization. This...Work at officeRelocationMonday to FridayWeekend work
- General Summary:The System Physician Advisor for CDI serves as a key liaison between Quality,... ...Report.Reporting Structure:• Direct: Chief Utilization Officer• Dotted Line: Chief Quality... ...to clinical documentation and DRG denials.· Drive initiatives that improve quality...
$242.11k - $387.38k
...System Office-ValleyPosition Overview:The Physician Advisor (PA) is a key member of the hospital's... ...for ensuring the effective, efficient utilization of health care services. The PA will... ...practices, level of care progression, denial management and compliance with...Full timeFor contractorsWork at officeShift workNight shift- ...Health is seeking a highly motivated Physician Advisor to partner with physicians, Care Management... ...leadership to ensure appropriate utilization of healthcare resources, regulatory compliance... ..., patient status determinations, denials prevention and appeals, physician...Daily paidFull timePart timeWorldwide
- ...Elizabeth is seeking a full time, in-person Physician Advisor to join the team in Beaumont, TX!... ..., documentation, over- and under-utilization of resources, medical necessity, compliance... ...include (but not limited to): Denial trends, appeals & recoveries Length...Full timeRelocation package
$252k
...Job Summary and Responsibilities As our Physician Advisor, you will promote evidence-based... ...care and appropriate hospital resource utilization, facilitating communication across medical... ...and resource allocation. Mitigate denials for payment from insurance payers by providing...Immediate start- ...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate...Remote workFull time
- ...Time Join Tenet Healthcare as a Physician Advisor and Drive Meaningful Change (ON SITE)... ...In this pivotal role, you’ll influence utilization management, documentation integrity, and... ...Committee quarterly Manage payer denials, including peer-to-peer reviews...Full timeImmediate startRelocation packageFlexible hoursShift work
- ...At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting,... ...patterns; documentation and over- and under-utilization of resources. This position is a key... ...the identification and management of denials. Make suggestions related to resource...Shift work
- ...Summary and Responsibilities As our Physician Advisor, you will promote evidence-based... ...care and appropriate hospital resource utilization, facilitating communication across medical... ...and resource allocation. Mitigate denials for payment from insurance payers by...Immediate start
- ...Physician Advisor Provides consultation on the level of care, utilization of resources, discharge issues and options, timeliness and appropriateness of care, payment denials, and other issues. Consults with physicians to improve the efficiency of care delivery, transitions...Shift work
- ...Job Details Physician Advisor Job Description Provides consultation on the level of care, utilization of resources, discharge issues and options, timeliness and appropriateness of care, payment denials, and other issues. Consults with physicians to improve...Shift work
$241k - $290.06k
...Physician Advisor Position type Full-Time Department Administration Location... ...Serve as a key member of the Utilization Management team, leading efforts to meet... ...regulatory compliance, hospital coding and denial management. Serve as primary liaison...Daily paidFull timeImmediate startFlexible hours- ...TH Associate Administrator / Clinical Utilization Advisor. The Clinical Utilization Advisor plays... ...that will work closely with the Physician Advisor, and reports to the Chief Medical... ...with credentialed providers. Denial Prevention, Management & Appeals Support...Full time
$98.65 - $147.98 per hour
...: Description: Position Title: Physician Advisor Type of Position: Exempt What We... ...expertise related to appropriate utilization/level of care (LOC), length of stay (LOS... ...activities, resource utilization/management, denial management issues, discharge planning...Hourly payFull timeFor contractorsWork at officeLocal areaFlexible hoursShift work
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