Remote Physician Advisor - Payer Peer Reviews
R1 RCM, Inc.
- Remote job
R1 RCM Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue by reviewing payor peer-to-peer cases. You will review cases for which authorization has been denied, evaluating if the proper documentation was available for the admission status, procedure, and care setting that was requested. The role requires strong clinical knowledge across multiple areas and the ability to work independently in a remote environment. #J-18808-Ljbffr R1 RCM, Inc.
- ...R1 is seeking a Physician Advisor to review payor denial cases, evaluating documentation for admission status, procedure, and care setting. You... ...3 years of post-residency clinical experience. This is a remote position with a target annual bonus of 10% and base pay disclosed...Remote work
- ...RCM, Inc. in the United States is seeking a Physician Advisor to help clients navigate compliant revenue by reviewing payor peer-to-peer cases. You will evaluate denied authorizations... ...on the appropriateness of requests. This remote role requires strong clinical knowledge...Remote job
$150.08k - $199.07k
...and the future of healthcare. As our Physician Advisor , you will help our client facilities... ...navigate the path to compliant revenue by reviewing payor peer-to-peer cases. Every day. You will... ...is essential for excelling in this remote position. Here’s what you will experience...Remote workPart timeLocal area- ...Physician Advisors Peer-to-Peer Medical Reviewers HJ Staffing is seeking two experienced, detail-oriented Physician Advisors Peer-to-Peer Medical Reviewers... ...necessity review, physician advisory services, payer medical review, or hospital case management is strongly...SuggestedNight shift
- UnitedHealth Group is seeking a Physician Advisor to partner with providers, case... ...payors for medical necessity reviews and appeals. You will conduct concurrent peer-to-peer discussions and ensure... ..., and cost-effective care with remote work within the U.S. Optum Insight...Remote job
$114 - $190 per hour
Review hematology cases by evaluating medical records, preparing clinical summaries, and answering specific questions from clients. This... ...to an independent contractor who can customize a schedule. Peer-to-peer communication is part of the role, with a focus on delivering...Remote workFor contractorsFlexible hours- ...Back to jobs Physician Advisor – (P2P) Medical Reviewer (1099 Contractor) Remote - USA Apply Position Summary The Physician Advisor... ...- Conduct scheduled and ad hoc peer-to-peer discussions with... ..., physician advisory services, payer medical review, or hospital case...Remote workFull timeFor contractorsNight shift
$93.6k - $312k
...ShiftFirst (Days)Overview:Physician Advisor - Sentara Virginia... ...compliant medical necessity reviews and assists with... ...management, including peer-to-peer discussions and... ...peer discussions with payers, and assistance with... ...that are available as remote work,Sentara Health employs...Remote workFull timeTemporary workShift work$160k - $300k
...between care providers and payers, and ultimately consumers.... ...Growing together. In this Physician Advisor role, you will partner... ...conduct medical necessity reviews, facilitate peer-to-peer discussions, manage... ...enjoy the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shift- ...Physician Advisor The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation... ...with CMS and payer guidelines Provide... ...Serve as a trusted peer resource to attending... ...teams Experience in a remote or consulting healthcare...Remote work
- ...Our partner is looking for a Physician Advisor Lead based in the United... ...operational excellence in a remote healthcare environment. You... ...necessity determinations, peer-to-peer reviews, denial prevention, and communication... ...healthcare providers and payers. You will establish...Remote workFull timeWork at office
- ...Physician Advisor Lead The Physician Advisor Lead provides... ...decision-making, effective payer-to-provider... ...Advisors, Utilization Review teams, and clients to... ...necessity determinations, peer-to-peer (P2P) performance... ...work effectively in a remote, client-facing environment...Remote work
- Visual Connections, LLC is seeking Peer Reviewers (Non-physician) . The Peer Reviewer (Non-physician) will provide clinical, subject matter expertise... ...of 5 years' experience in clinical area Full Time Remote Position Benefits Full Medical, Dental, Prescription and...Remote workFull timeTemporary workLocal area
- Dane Street, LLC is seeking medical reviewers to join our telework team as independent contractors. You will review clinical cases, summarize... ..., and respond to client questions while coordinating with peers to ensure accurate and timely reports. The role emphasizes medical...Remote jobFor contractors
- A healthcare consulting firm is seeking a full-time remote Peer Reviewer (Non-physician) to provide clinical expertise for comprehensive peer reviews. Candidates must be licensed, actively practicing within their specialty, and have a minimum of 5 years of clinical experience...Remote jobFull time
- Dane Street, LLC is seeking Board Certified physicians to join our Disability Peer Review team as independent contractors. This telework role lets you evaluate disability claims from home with flexible scheduling and no patient contact. Typical turnaround times are 3-5...Remote jobFor contractorsFlexible hours
$250k - $350k
...Location: MedStar Health - Remote / Telehealth (remote) MedStar Job ID: 166722 Physician Advisor - MedStar Multisite... ...care. In this role, you’ll Review patient status, medical necessity... ...denials management and peer to peer discussions with payers Drive length of stay improvements...Remote workFull time- ...Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical... ...evaluate medical records, provide clinical summaries, engage in peer communications, and answer specific questions posed by our clients...Remote workFor contractors
$198k - $297k
...including hospitals and affiliated physician groups. They offer end-to-... ...: The Physician Advisor provides leadership for efficiently... ...and compliance, performing Peer to Peer reviews, Short Stay Reviews,... ...experimentation to scale. - This is a remote position; however,...Remote workTemporary workWork at officeLocal area- ...LLC in the United States is seeking experienced forensic pathologists for a remote, 1099 independent contractor role. You will review medical records, produce clinical summaries, engage in peer discussions, and answer client questions. Required: board certification in forensic...Remote jobFor contractors
- Dane Street is seeking a medical reviewer to join our expert team. This telework role is a 1099 independent contractor position with a flexible... ...medical records, prepare clinical summaries, and engage in peer communications while addressing client questions. The ideal...Remote jobFor contractorsFlexible hours
- Federal Hearings and Appeals is seeking a Physician Peer Reviewer (Pediatrician or Family Medicine) licensed in Arizona and board-certified to perform independent medical reviews. This is a remote, contract role supporting the Bureau of Hearings and Appeals with medical...Remote jobContract workWork at office
- ...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
- ...Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and...Remote workWork from home
- ...motivated, full-timeCommunity Program Peer Network Coordinator Component Headquarters Advisor (CPPNC-CHA) to join our team in... ...advising policy and procedural reviews, coordinating with... ...you to work 60% in-office and 40% remote, with Monday and Tuesday as common...Remote workWork at officeLocal areaFlexible hours
- ...Dane Street, LLC is seeking Board Certified Physicians to join our Disability Peer Review team. This telework opportunity allows physicians to evaluate disability claims remotely, offering complete flexibility in scheduling and the ability to dictate workload based on...Remote workWork from home
$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... ...environment.For positions that are available as remote work,Sentara Health employs associates...Remote workFull timeTemporary workShift work- ...and more personalized. PWN Remote Care Services, P.A. (PWN) is... ...interventions. We are a 50-state physician, registered nurse, and... ...asynchronous medical necessity review following a completed genetic... ...claims submitted to federal payers. As such, strict adherence to...Remote workContract workFlexible hours
- ...A leading healthcare consulting firm is seeking a Specialty Physician Reviewer with expertise in genetics to conduct thorough reviews and provide peer consultations. This flexible contract role requires an MD or DO degree and board certification in relevant specialties...Remote workContract workFlexible hours
- ...iMPROve Health is seeking a Pediatric Critical Care Physician to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific...Remote workFull timeContract workFor contractorsWork at office
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