Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Physician Advisor - Utilization & Denials Specialist

Northeast Georgia Health System

New York, NY
  • Remote job

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 and ACPA certification, along with 5-7 years of physician practice experience. Responsibilities include supporting physician education, participating in Utilization Review, and managing complicated cases to improve efficiency and compliance. Strong communication, analytical skills, and a solid understanding of healthcare regulations are essential for success in this position. #J-18808-Ljbffr Northeast Georgia Health System

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Physician Advisor - Utilization & Denials Specialist in New York, NY vacancy
  • 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...  ...experience in a hospital setting. You will work remotely with occasional onsite presence required. Benefits... 
    Remote job

    Ascension Health

    Wichita, KS
    2 days ago
  • 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

    HURC Healthcare Solutions

    Short Hills, NJ
    4 days ago
  • 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 job
    Full time

    Ascension

    Wichita, KS
    4 days ago
  • 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... 
    Suggested

    MedStar Health

    Washington DC
    4 days ago
  • 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... 
    Suggested

    Sentara Health

    Woodbridge, VA
    1 day ago
  • $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... 

    AMN Healthcare

    Danbury, CT
    1 day ago
  • $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... 

    MedStar Health

    Washington DC
    4 days ago
  • 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

    AdventHealth Orlando Support

    Orlando, FL
    3 days ago
  •  ...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 work
    Daily paid

    Public Health Trust of Dade Co

    Miami, FL
    4 days ago
  •  ...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 work
    Full time
    Temporary work
    Day shift

    Sentara Healthcare

    Norfolk, VA
    3 days ago
  •  ...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

    Hurc LLC

    Short Hills, NJ
    2 days 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...  ...Monster Top Workplace for Remote Work 2024 Great Place... 
    Remote work
    Local area

    Ensemble Health Partners

    Jupiter, FL
    3 days ago
  •  ...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 work
    Full time
    Temporary work
    Shift work

    Sentara Healthcare

    Virginia Beach, VA
    2 days ago
  •  ...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 work
    Temporary work
    Shift work

    Sentara Healthcare

    Suffolk, VA
    12 hours ago
  •  ...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 work
    Full time
    Contract work
    Part time
    Home office

    XSOLIS

    United States
    12 hours ago
  •  ...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 work
    Full time
    Work at office
    Relocation package
    Flexible hours

    Advocate Health

    Charlotte, NC
    4 days ago
  •  ...Physician Advisor - Utilization Mgmt Job Summary: Provides medical leadership for the Department by assisting in the planning, development, and...  ...Advisors. Work collaboratively with Revenue Integrity to reduce denial and appeal burdens and increase revenue by improving the... 
    Contract work
    Night shift

    Medicine Journal

    Chattanooga, TN
    12 hours ago
  •  ...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 work
    Full time
    Temporary work
    Work experience placement
    Local area

    Ascension

    Wichita, KS
    1 day ago
  • 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 work
    Temporary work
    Shift work

    Sentara Health

    Woodbridge, VA
    1 day ago
  •  ...: 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 work
    Full time
    Work experience placement
    Local area

    Ascension Health

    Wichita, KS
    2 days ago
  • $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... 

    NYC Health + Hospitals

    New York, NY
    12 hours ago
  •  ...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... 

    Brundage Group

    Florida, NY
    1 day ago
  •  ...Denial Specialist - Epic PB Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing...  ...Epic Professional Billing (PB) Analyst or in a role heavily utilizing Epic PB for operational analysis and workflow optimization.... 
    Remote work
    Permanent employment

    Westerkamp Group LLC

    Lisle, IL
    17 days ago
  • $28.83 - $46.14 per hour

     ...Range: $28.83 - $46.14 per hour. Location: Remote in Washington State only. Posted wage...  ...resolution and reporting of payer claim denials to recover reimbursement for EvergreenHealth...  ...of experience in denial management, utilization review or prior authorization in a hospital... 
    Remote work
    Hourly pay
    Contract work
    Flexible hours
    Shift work

    EvergreenHealth

    Kirkland, WA
    12 hours ago
  • $23 per hour

     ...Description Title : Temporary Member Advisor Specialist Location : Roseville, MN...  ...systems with a high level of accuracy Utilize available resources to independently...  ...beginning October 1, with some flexibility for remote overtime hours Licensing... 
    Remote work
    Contract work
    Temporary work
    Work at office
    Immediate start
    Monday to Friday
    Weekend work
    Weekday work

    Dahl Consulting

    Roseville, MN
    4 days ago
  • $103 per hour

    Overview The Senior Utilization Review Specialist collaborates with the healthcare team in the management...  ...requirements. Education/Advisory Physician Educator. Provide formal educational...  ...functional departments to reduce clinical denials by: Peer-to-Peer (P2P) Concurrent... 
    Hourly pay
    Daily paid
    Full time
    Contract work
    Part time
    For contractors
    Apprenticeship
    Work experience placement
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Hackensack Meridian Health

    Hackensack, NJ
    2 days ago
  • The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity...  ...to performing status determinations and Peer to Peer denial interactions with medical directors of third-party payers.... 
    Daily paid
    Weekend work

    Hackensack Meridian Health Inc.

    Hackensack, NJ
    1 day ago
  •  ...payors and pricing agencies. Works with physician offices and billing office employees to...  ...claims based on current client contracts. Utilizes knowledge of the revenue cycle and...  ...receivables and collections, including denial and appeal processes. Understanding of... 
    Work at office

    Northside Hospital

    Atlanta, GA
    12 hours ago
  • Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical / Billing...  ...requirements. Follow up on denials and submit appeals with corrected documentation...  ...behavioral health environment. Remote flexibility depending on needs of... 
    Remote work
    Full time

    Dove Recovery

    Columbus, OH
    12 hours ago
  • $31.15 - $34.61 per hour

     ...The Program Specialist/Academic Advisor supports the day-to-day operations of graduate degree programs...  ...willingness to achieve, acquire, and utilize new skills and challenging tasks; and...  ...campus. Hybrid work schedule with one day remote per week and potential for increased... 
    Remote work
    Full time
    Work at office
    Flexible hours
    Weekend work
    Afternoon shift
    Early shift
    1 day per week

    Babson College

    Wellesley, MA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Physician Advisor - Utilization & Denials Specialist. Be the first to apply!