Physician Advisor: Utilization & Appeals Specialist
Xsolis
Xsolis, an AI-driven healthcare technology company based in Franklin, TN, is seeking Physician Advisors to support XPAS client reviews with emphasis on utilization management, CMS rules, and evidence-based assessments. This full-time role focuses on improving hospital efficiency and reducing administrative waste across payer-provider interactions. Ideal candidates have 5+ years of clinical practice, relevant UM experience, and strong communication and documentation skills. #J-18808-Ljbffr Xsolis
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Physician Advisor: Utilization & Appeals Specialist in Franklin, TN vacancy
- ...people to grow with us. Position Summary Details Physician Advisors provide concurrent review and appeal support services for XSOLIS’s XPAS client base. Physician... ...to innovate, execute and deliver. Experience with utilization management and understanding of state and federal...SuggestedRemote jobPermanent employmentFull timeContract workPart timeHome office
- ...access points, an insurance offering, a physician network and various related services located... ...relevant reports and documenting appeal results in MS4 and MIDAS, ensuring proper... ...health treatment. Familiarity with the utilization process involved in working with health...SuggestedWork experience placementLocal area
- Jobtailor is seeking a healthcare billing specialist to review denials, communicate with insurers, and manage appeals in a fast-paced office setting. You will analyze payment data, prepare documentation, and maintain accurate records to improve revenue cycle outcomes. Prerequisites...Suggested
- ...Now Hiring: Revenue Cycle Specialist Remote in USA Our Network That Serves Nationwide... ...make corrections as needed and rebill. Utilize claims clearinghouse, EMRs and payor portals... .... ~ Healthcare background with payor appeals experience. ~ Advanced computer skills...SuggestedTemporary workWork at officeLocal areaImmediate startRemote workMonday to Friday
- Socket.dev is seeking a Clinical Documentation Specialist (CDS) to perform CDI activities and improve accuracy of patient records across facilities. The CDS educates providers through physician queries and collaborates with coding staff to reflect severity of illness and...Suggested
- Corporate Engagement Specialist supports GraceWorks Ministries’ goals, values, and philosophy... ...businesses for fundraising events and appeals. Maintains annual acquisition, retention... ...records of prospective business donors, utilizing Moves Management or similar methodology...Local area
- A healthcare management company seeks a Social Media Manager to promote brand awareness and engagement through social media channels. The ideal candidate will have 5 years of experience in social media, preferably in healthcare, and a Bachelor's degree in marketing or a...
- ...empowering our associates to be a trusted advisor while providing them with the resources... ...Skills MS Office programs Understand and utilize social media platforms to help share brand... ...If these cornerstones of company culture appeal to you, let’s talk! There’s never been a...Night shift
- Encompass Health Corporation in Franklin, Tennessee seeks a dedicated Speech Pathologist to assist patients with communication challenges. You will create personalized treatment plans and track patient progress in a supportive environment. Candidates must have state licensure...
- ...applicable policies and procedures. • Maintains photo equipment and utilizes store systems and technology to support daily operations,... ...and operational continuity during times when the Photo Specialist is not scheduled. • Follows company policies, asset protection...Work experience placementSeasonal workFlexible hoursAfternoon shift
- ...Overview Join to apply for the Specialist, Revenue Recovery role at Ovation Healthcare . Direct... ...Denial and Underpayment Analysis: Utilize the Health Innovas Pulse platform to systematically... ...justification to support underpayment appeals and resolution efforts. Collaborate with...Full timeContract workWork experience placementRemote work
- ...together in a powerful and unique way. As a Southall Experience Specialist, you will play an integral role in creating exceptional guest... ..., or phone, providing our guests with a 5‑star experience and utilizing hotel systems to initiate service requests and ensure prompt...Weekly payTemporary workWeekend workAfternoon shift
- ...Compassionate Hospice Leadership. In this critical role as a Hospice Physician, you will ensure the delivery of compassionate, goal-directed... ...patient care and medication management. Monitor pharmacy utilization, ensuring appropriate medication prescribing and...Daily paidFull timePart timeLocal area
- Review denial letters and initiate follow-up actions to confirm and dispute appeal denials Contact insurance companies via phone, payer portals, and email to clarify denial reasons and request reconsideration Submit disputes for denials related to timely filing, missing...Contract work
- EnableComp in Franklin, Tennessee is seeking a Resolution Analyst to serve as a liaison between key client contacts and the denials appeal process. This role involves reviewing and appealing denied claims using proprietary software, ensuring timely reimbursement and...
- Position Summary The Recruiting Specialist is responsible for attracting, screening, interviewing, and hiring qualified caregivers and... ...leaders to understand workforce challenges and staffing priorities. Utilize recruiting technology and applicant tracking systems to...
$86.72k - $119.24k
...effectiveness of delivery and engagement of the operational risk programs Support tracking of program budgets, vendor spend, and service utilization Responsible for primary coordination with all service providers / third party business partners to ensure contractual...Work at office- ...Job Description Job Description Overview As a WFM Specialist I at Wellpath, you will hold a pivotal position in enhancing workforce... ..., and forecasting, all aimed at maximizing the efficient utilization of Wellpath's workforce management platforms. This role is...Hourly pay
$119.6k - $199.3k
Position SummaryThe Senior Advisor for Affordability is a strategic leadership role responsible for driving the development of clinical strategies across the Cigna Healthcare organization, specifically partnering with the analytics, clinical, product, trend, communications...Full timeLocal areaWork from home- Description Social Media Specialist - Brentwood, TN Role Overview: We are seeking a highly motivated and creative Social Media Specialist to drive brand awareness, engagement, and growth across digital platforms. This individual will play a key role in developing and executing...
- ...States for the last eleven years. Position Summary The Revenue Specialist acts as the liaison between key client contacts and insurance... ...reimbursement Prepare correct Workers’ Comp initial bill packet or appeal letter using EnableComp systems tools and submit with all...Remote jobContract workFlexible hours
- ...support and incident management, with a strong focus on troubleshooting, root cause analysis, and process improvement. Proficient in utilizing monitoring tools and scripting for automation while effectively communicating technical issues to diverse stakeholders. Highest-...Work from home
- ...Brentwood, TN 37027, USASUMMARY: The Relationship Banker is a trusted advisor who engages clients in meaningful, consultative conversations... ...advice that aligns with clients' short-and-long term goals. Utilize a deep understanding of the bank's products and services while...Temporary workWork at office
- ...aligns with our mission and you possess the knowledge, skills, and abilities needed for the role, please keep reading. The Donor Advisor is responsible for qualifying and building strong, ministry-focused relationships within K-LOVE's Annual Giving Program of mid-...Temporary workFlexible hours
- ...Summit Wealth Strategies seeks an experienced Associate Financial Advisor to join our retirement planning team. The role focuses on delivering high-quality financial planning and client service rather than prospecting or building a book of business. You will work with...
- ...Banking Center Network, Mortgage Lending, Commercial/Cash Management, Wealth Management) Act as the customer's personal banker, utilizing the bank's Contact Management philosophy and strategy to strengthen relationships, offer products and services that align with customer...Hourly payFull timeWork experience placementWork at officeHome officeMonday to Friday
- Wealthspire Trust seeks a Senior Trust Advisor to oversee fiduciary trust solutions, manage trust administration, and support new business opportunities. The role partners with Wealthspire Advisors, co-trustees, and clients to ensure compliant, client-centered service across...Remote job
- Wealthspire Trust in Nashville, TN or Remote is seeking a Senior Trust Advisor to oversee fiduciary trust solutions, onboarding, and administration. The role supports tax coding, distributions, and regulatory reviews while collaborating with Wealthspire Advisors and co-...Remote work
- Service Center Franklin Job Summary Caliber Collision has an immediate job opening for an Auto Parts Coordinator to inspect, verify, and distribute parts to workstations while confirming arrival and accuracy with Body Technicians. The Parts Coordinator will also...Weekly payImmediate start
- SkyKey Financial is seeking licensed Life Insurance Agents to provide retirement accounts to clients who are eager to engage. This fully remote role allows for flexible scheduling and offers top-tier compensation, uncapped commissions, and additional monthly bonuses. Agents...Remote jobFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Physician Advisor: Utilization & Appeals Specialist. Be the first to apply!
Related searches
- doctor of optometry Franklin, TN
- physician-psychiatry Franklin, TN
- primary care physician Franklin, TN
- sports medicine physician Franklin, TN
- medical doctor Franklin, TN
- preventive medicine physician Franklin, TN
- primary care sports medicine physician Franklin, TN
- doctors office nurse Franklin, TN
- lpn doctors office Franklin, TN
- safety physician Franklin, TN


