Physician Advisor: Payor Peer Review (Remote)
R1 RCM
R1 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, verify documentation for admission status, procedure, and care setting, and advise on the appropriateness of requests. This remote role requires strong clinical knowledge across multiple areas, independent performance in a fast-paced environment, and proficiency with basic computer skills. #J-18808-Ljbffr
- ...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 work
- ...R1 RCM Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue by reviewing payor peer-to-peer cases. You will assess denied authorizations and ensure... ...in a fast-changing environment. This remote role offers scheduled hours and an annual...Remote work
- ...R1 RCM, Inc. is seeking a Physician Advisor to guide client facilities through compliant revenue processes by reviewing payor peer-to-peer cases and ensuring appropriate documentation... ...with payor medical directors and work remotely from the United States. The role requires...Remote work
- 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... ...the ability to work independently in a remote environment. #J-18808-Ljbffr R1 RCM, Inc.Remote job
- ...R1 RCM, Inc. is seeking a Physician Advisor to review payor requests and determine documentation adequacy for admission status, procedure, and care... ...appropriateness of requests, working from home in a fast-paced, remote environment. The ideal candidate holds an active MD or DO...Remote workWork from home
- ...R1 RCM Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue by reviewing payor cases. You will assess denied authorizations, ensure documentation... ...to work independently in a fast-paced, remote environment with basic computer skills....Remote work
- ...Physician Advisor Peer-to-Peer (P2P) Medical Reviewer Location: Fully Remote | Candidates must be available to work Eastern Time (EST) business hours. Hours: Part-time hours Impresiv Health is seeking a Physician Advisor Peer-to-Peer (P2P) Medical Reviewer to conduct...Remote workPart timeImmediate startNight shift
$150.08k - $199.07k
...the future of healthcare. As our Physician Advisor , you will help our client facilities... ...the path to compliant revenue by reviewing payor peer-to-peer cases. Every day. You will review... ...is essential for excelling in this remote position. Here’s what you will experience...Remote workPart timeLocal area$150.08k - $199.07k
...R1 RCM Inc. is seeking a Physician Advisor to review payor peer-to-peer cases and advise on authorization decisions. You will evaluate case documentation... ...discuss findings with payor medical directors. This remote US-based position requires MD/DO licensure and at least...Remote work- UnitedHealth Group is seeking a Physician Advisor to partner with providers, case managers, and payors for medical necessity reviews and appeals. You will conduct concurrent peer-to-peer discussions and... ...and cost-effective care with remote work within the U.S. Optum Insight...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- ...Sound Physicians is seeking a Physician Advisor for a fully remote, full-time role in the United States. The advisor conducts holistic case reviews, ensuring medical necessity and compliant documentation... ...LOC determinations and peer-to-peer reviews, with collaboration...Remote workFull time
- R1 RCM, Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue and review payor cases. You will evaluate denied authorizations, ensure documentation... ...medical directors from payor side. This remote US-based role requires active MD/DO...Remote job
$160k - $300k
...Connecting. Growing together. In this Physician Advisor role, you will partner with providers, case managers, and payors to conduct medical necessity reviews, facilitate peer-to-peer discussions, manage... ...enjoy the flexibility to work remotely * from anywhere within the U.S....Remote workMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shift- ...navigating compliant revenue processes, the part-time salaried Physician Advisor MD/DO will review payor peer-to-peer cases, evaluate documentation for... ...engage with medical directors from the payor side in a remote setting. Key responsibilities Review cases for authorization...Remote workPart time
- ...Job Purpose The Physician Advisor provides physician-to-physician reviews, clinical guidance, education and escalation support... ...accreditation requirements and payor partner policies Meet... ...and meetings Participate in peer review process as needed...Remote workContract workWork at officeLocal area
$198k - $297k
...hospitals and affiliated physician groups. They offer... ...: The Physician Advisor provides leadership for... ...compliance, performing Peer to Peer reviews, Short Stay Reviews,... ...Perform peer to peers with payors’ medical directors... ...Top Workplace for Remote Work 2024 Great Place...Remote workLocal area- 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
$93.6k - $312k
...Overview: Physician Advisor – Sentara Virginia Beach General Hospital (Virginia... ...compliant medical necessity reviews and assists with denials management, including peer-to-peer discussions and appeal... ...positions that are available as remote work, Sentara Health...Remote workFull timeTemporary workShift work- ...Back to jobs Physician Advisor – (P2P) Medical Reviewer (1099 Contractor) Remote - USA Apply Position Summary The Physician Advisor (1099 Contractor) is a licensed physician... ...Responsibilities - Conduct scheduled and ad hoc peer-to-peer discussions with treating physicians and...Remote workFull timeFor contractorsNight shift
- ...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
- ...HURC seeks a Physician Advisor to lead physician-to-physician reviews and provide clinical guidance across care settings. The role emphasizes evidence-based utilization... ...HIM/CDI partners. A strong background in acute care and peer communication is essential. #J-18808-LjbffrRemote work
- ...The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while promoting... ...Serve as a trusted peer resource to attending physicians... ...revenue cycle teams Experience in a remote or consulting healthcare environment...Remote work
- ...Physician Advisor (Remote) United States Join our Medical Group as a Physician Advisor, Advisory Services... ...-informed, clinically supported case reviews that can be clearly understood by case... ...from 8:00 AM to 6:00 PM EST, and 80 Peer-to-Peers per month. Level of Care Determinations...Remote workFull timeMonday to FridayFlexible hoursShift work
- ...steps. Our partner is looking for a Physician Advisor Lead based in the United States. This... ...mentorship, and operational excellence in a remote healthcare environment. You will... ...medical necessity determinations, peer-to-peer reviews, denial prevention, and communication...Remote workFull timeWork at office
- ...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 workFor contractorsFlexible hours
- ...is seeking a Board Certified Gastroenterologist for Disability Peer Reviews. As part of the network, you will conduct administrative peer... ...time clinical practice, and enjoy flexible hours while working remotely. Ideal candidates must hold an active ABIM board certification...Remote workContract workFlexible 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 workContract workWork at office
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