Remote Physician Advisor — Denial & Utilization
Indiana University Health
Indiana, PA
- 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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Physician Advisor — Denial & Utilization in Indiana, PA vacancy
- MedStar Health seeks a Physician Advisor to join our system in a hybrid role supporting hospitals... ...length of stay, and prevent clinical denials, ensuring patients receive appropriate... ...include reviewing patient status and utilization, leading denial interventions,...Suggested
- UnitedHealth Group is seeking a Physician Advisor for Concurrent Appeals & Denials. This remote role focuses on medical necessity reviews, peer-to-peer discussions with payor medical directors, and managing appeals to support hospital patient status determinations. Ideal...Remote jobWeekend workAfternoon shift
- Washington & West, LLC in Towson, Maryland, is seeking self-motivated FT/PT Physician Advisors to join our team. The Physician Advisor will serve as a clinical resource, addressing utilization issues, peer to peer reviews, and hospital reimbursement matters. Ideal candidates...Suggested
$93.6k - $312k
...VAWork ShiftFirst (Days)Overview:Physician Advisor - Sentara Virginia Beach... ...reviews and assists with denials management, including peer-to... ...support of Sentara's centralized Utilization Review (UR) process.The... ...positions that are available as remote work,Sentara Health employs...Remote workFull timeTemporary workShift workSentara Healthcare
Virginia Beach, VA4 days ago$93.6k - $312k
...delivery at Sentara Health.As a Regional Physician Advisor, you'll leverage your clinical... ...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 associates...Remote workFull timeTemporary workShift workSentara Healthcare
Williamsburg, VA4 days ago- ...ACCEPTING APPLICATIONS*** The Physician Advisor provides physician-to-... ...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
Hurc LLC
Short Hills, NJ2 days ago $160k - $300k
...Join us to start Caring. Connecting. Growing together. In this Physician Advisor role, you will partner with providers, case managers, and... ...all Physician Advisors.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges...Remote workMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shiftUnitedHealth Group
Newtown Square, PA4 days ago$176.13k
...Position Purpose: The Physician Advisor optimizes efficient... ...necessity in case evaluation and utilization management. The Physician... ...0-hours/week) Monday-Friday REMOTE in the United States.... ...level of care progression, denial management, and compliance with...Remote workFull timeFor contractorsWork at officeLocal areaMonday to FridayBlueCross BlueShield of South Carolina
Baltimore, MD23 hours ago$198k - $297k
...hospitals and affiliated physician groups. They offer end... ...: The Physician Advisor provides leadership... ...managing resource and utilization to deliver quality cost... ...expert Assist with denials and appeals as appropriate... ...scale. - This is a remote position; however,...Remote workTemporary workWork at officeLocal areaEnsemble Health Partners
United States4 days ago- ...Physician Advisor Provides clinical expertise and guidance to Clinical Analysis and appeals... ...Pennsylvania Medical Assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle denial and appeals processes for hospital activity...Remote jobFull timeShift work
- ...hospitals and affiliated physician groups. They offer end... ...The Lead Physician Advisor serves as the primary... ...documentation improvement (CDI), utilization review, and regulatory... ...quality, reduce denials, and support... ...Monster Top Workplace for Remote Work 2024 Great Place...Remote workFull timeLocal area
- Physician Advisor UR and CDI-Utilization Management Summary: The Physician Advisor is a key member of the healthcare organization's leadership team and... ...utilization of resources, medical necessity, levels of care, denial management, compliance with governmental and private...
- ...Goodyear, Arizona invites an experienced physician to join as a Physician Advisor on-site. This full-time leadership role will influence utilization management, documentation integrity,... ...with CDI/HIM teams to reduce denials and enhance documentation #J-18808-Ljbffr...Full time
- Baptist Health South Florida is seeking a Physician Advisor to provide clinical leadership and... ...relations to optimize patient care and utilization. The incumbent will review complex... ...cases, ensure CMS compliance, and support denials management while guiding physicians on...
- ...Unique \n \n Join a mission-driven physician team focused on improving patient outcomes... ...Medical Directorship \n Compliance Advisor \n \n \n What You Should Bring \n... ...a per-collaboration basis. \n Fully remote, flexible scheduling. \n A collaborative...Remote jobContract workFlexible hours
Stealth Healthtech Startup
Washington DC6 days ago - ...Unique \n \n Join a mission-driven physician team focused on improving patient outcomes... ...Medical Directorship \n Compliance Advisor \n \n \n What You Should Bring \n... ...a per-collaboration basis. \n Fully remote, flexible scheduling. \n A collaborative...Remote jobContract workFlexible hours
Stealth Healthtech Startup
New Hampshire, OH8 days ago $134.6k - $230.8k
...quality organization supporting utilization management operations across... ...utilization management, physician advisor functions, peer-to-peer review... ...the flexibility to work remotely * from anywhere within the U... ...medical necessity guidelines, denial management protocols, physician...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaUnitedHealth Group
Charlotte, NC3 days ago- Physician Advisor (Remote) United States Join our Medical Group as a Physician Advisor, Advisory Services - Remote, Full-time The successful physician... ...Medicine, Critical Care recognized by ABMS or ABQAURP. Utilization-specific training from ABQAURP (The American Board of...Remote jobFull timeMonday to FridayFlexible hoursShift work
$150.08k - $199.07k
Title: PAS Physician Advisor Payer Peer to Peer (Part-time, Salaried) Location: Remote United States Part time Job Description: At R1, we're transforming how healthcare... ...by documentation. Make phone contact with utilization review team and/or case managers at client hospitals...Remote workPart timeLocal area$150.08k - $199.07k
...the future of healthcare. As our Physician Advisor , you will help our client facilities... ...skills is essential for excelling in this remote position. Here’s what you will... ...documentation. Make phone contact with utilization review team and/or case managers at...Remote workPart timeLocal area- Job Purpose The Physician Advisor performs case reviews of all case types in a knowledgeable and conscientious manner to achieve the highest... ..., case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital...Remote jobWork at officeLocal areaShift 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 weekCRA International
Boston, MA1 day ago- ...Back to jobs Physician Advisor – (P2P) Medical Reviewer (1099 Contractor) Remote - USA Apply Position Summary The Physician Advisor (1099 Contractor) is a licensed... ...discussions with treating providers regarding utilization management determinations. The physician applies...Remote workFull timeFor contractorsNight shift
Cloverhealth
Remote24 days ago - In this remote contract role, the physician reviews clinical service requests from members and providers,... ...in the appeal process for service denials. Contribute to physician review policies... ...review. Preferred Experience in utilization review, case review, or related physician...Remote workFull timeContract workWeekend workWeekday work
$213.1k - $383.58k
...communities we serve. The Job The Utilization Management (UM) Physician Medical Director provides physician-... ...venues; present clinical outcomes, denial trends, and overturn-rate data. Support... ...83,580 per year Work Mode - Mostly Remote: Employees who reside outside the...Remote workFor contractorsWork at officeLocal areaRelocation- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
ExamWorks
United States2 days ago - Henry Ford Health System in Detroit seeks a Physician Advisor responsible for overseeing healthcare service utilization and compliance. The role includes collaboration with medical staff to promote quality care while managing resources effectively. Applicants should possess...Full time
- Wellstar Health System is seeking a Physician Advisor to collaborate with the VPMA and care teams to optimize utilization, documentation and care delivery. The role focuses on improving quality metrics, reducing inappropriate stays, and guiding physicians through complex...
- Penn Medicine is seeking a Physician Advisor to serve as a clinical leader within Utilization Management, reporting to the AVP of Utilization Management. The role supports medical necessity determinations, peer-to-peer engagement, and documentation improvements across...
- Wellstar Health Systems seeks a Physician Advisor (PA) to support utilization management, quality improvement, and performance initiatives across the system. The PA will collaborate with VPMA and hospital leadership to enhance patient care quality, ensure medical necessity...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Advisor — Denial & Utilization. Be the first to apply!
Related searches
- supervising physician Indiana, PA
- doctors office nurse Indiana, PA
- anesthesia physician Indiana, PA
- physician-geriatric medicine Indiana, PA
- lpn doctors office Indiana, PA
- internal medicine primary care physician Indiana, PA
- physician neurology Indiana, PA
- remote physician reviewer Indiana, PA
- permanent doctor Indiana, PA
- resident doctor Indiana, PA