Remote Physician Advisor - Concurrent Appeals & Denials
Optum
- Remote job
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 candidates are MD/DO with board certification and 3+ years in hospital-based practice, with strong communication skills and flexibility for evenings/weekends. Remote work within the U.S. is supported. #J-18808-Ljbffr Optum
$160k - $300k
Improve the lives of others while Caring. Connecting. Growing together. Job Description - Physician Advisor - Concurrent Appeals & Denials - Remote (2381392) Physician Advisor - Concurrent Appeals & Denials - Remote - 2381392 OptumInsightis improving the flow of health...Remote jobMinimum wageFull timeWork experience placementLocal areaAll shiftsMonday to FridayFlexible hoursWeekend workAfternoon shift- UnitedHealth Group is seeking a Physician Advisor to partner with providers, case managers... ...for medical necessity reviews and appeals. You will conduct concurrent peer-to-peer discussions and... ...compliance, and cost-effective care with remote work within the U.S. Optum Insight...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...Remote jobFull time
- ...Physician Advisor Sentara Princess Anne Hospital (Virginia... ...reviews and assists with denials management, including... ...peer discussions and appeal letters, in support... ...providers, providing concurrent education and guidance... ...are available as remote work, Sentara Health...Remote workFull timeTemporary work
- ...STILL ACCEPTING APPLICATIONS*** The Physician Advisor provides physician-to-physician... ...medical necessity, level of care, and denial prevention/appeals Support utilization review and case... ...cycle teams Experience in a remote or consulting healthcare environment...Remote work
$198k - $297k
...including hospitals and affiliated physician groups. They offer end-to-... ...: The Physician Advisor provides leadership for efficiently... ...expert Assist with denials and appeals as appropriate Educate medical... ...to scale. - This is a remote position; however, candidates...Remote workTemporary workWork at officeLocal area- ...individuals who embody these values to join our Denial Management team in the role of RCS-Physician Advisor. This position is Full Time and Remote. Role Responsibilities Acts as a... ...their work related to authorizations, concurrent reviews and payor denials. Key...Remote workFull time
- ...Physician Advisor Provides clinical expertise and guidance to Clinical Analysis and appeals team. Acts as the physician advisor for medical necessity appeals and for the Pennsylvania... ...for the regulatory and revenue cycle denial and appeals processes for hospital...Remote jobFull timeShift work
$176.13k
...team! Position Purpose: The Physician Advisor optimizes efficient management of... ...full-time (40-hours/week) Monday-Friday REMOTE in the United States. Sponsorship:... ...practices, level of care progression, denial management, and compliance with governmental...Remote workFull timeFor contractorsWork at officeLocal areaMonday to Friday$208.67k - $417.35k
...5pm, Monday - Friday The Physician Advisor educates and advises Utilization... ...related to utilization and denial prevention. The role... ...medical directors on denials, appeals, and utilization criteria.... ...documentation requirements. Reviews concurrent and post-acute payer denials...Full timeWork experience placementWork at officeLocal areaMonday to FridayShift work- UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections. This WFH role...Remote jobWork at officeWork from home
- ...At Houston Methodist, the Physician Advisor position is responsible for teaching... ...and management of denials. Make suggestions related to... ...to denials from payers on a concurrent basis; authoring denial letters... ...extent denied cases will be appealed. Review cases that indicate...Shift work
- ...Job Description The Physician Advisor serves as a physician leader partnering with... ...documentation and severity capture, supports denial prevention and appeals, and advances quality and... ...Management and Care Management. Perform concurrent review of high-risk or complex...Work experience placementWork at officeAfternoon shift
- ...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
- ...Back to jobs Physician Advisor – (P2P) Medical Reviewer (1099 Contractor) Remote - USA Apply Position Summary The Physician Advisor (1099 Contractor) is a licensed... .... - Collaborate with nurses, medical directors, appeals and grievances, provider engagement, and other operational...Remote workFull timeFor contractorsNight shift
- ...including hospitals and affiliated physician groups. They offer end-to-end... ...: The Lead Physician Advisor serves as the primary... ...documentation quality, reduce denials, and support organizational goals... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workFull timeLocal area
- ...Shift Job Summary: The Physician Advisor reports to and is... ...be limited to areas such as concurrent assessment of the clinical situation... ...with the CMO. c) Assist with denial management process on a concurrent... ...with payers, denials and appeals processes, observation level...Full timePrivate practiceImmediate startShift work
- ...Phothera is seeking a Denials & Appeals Specialist to own the appeals process for denied and underpaid claims, focusing on medical necessity... ...maximize reimbursement and patient access. While the role is fully remote, candidates based in or near Beachwood, OH are strongly...Remote work
- ...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
- ...BS/MD Advisor We are looking for highly motivated individuals who are passionate about... ...can take upwards of a year. This is a remote position that requires you to have a reliable... ...Word. Qualifications: MD or DO physician (attending preferred; residents and...Remote workFlexible hours
- Boston Children’s Hospital seeks a Senior Physician Billing Associate to ensure timely and accurate submission, follow-up, and resolution... ...departments. With limited supervision, you will resolve denials, appeals, and outstanding balances, maintain compliance with payer...
- Independence Physician Management (IPM) offers a remote Accounts Receivable Specialist role with a required 3-month in-office training for those... ...will manage unpaid and underpaid claims, research denials, file appeals, and ensure timely collections across multiple markets...Remote jobWork at office
$28 - $35 per hour
...Location: Remote (U.S.) Preferred Location: Candidates based in or near Beachwood, OH are strongly preferred. Reports To:... ...within Madison Industries, on a direct hire opportunity for a Denials & Appeals Specialist. This is a remote revenue cycle role focused...Remote workHourly payWork at officeLocal area- ...Description Roles and Responsibilities Overview The Physician Advisor is a full-time administrative physician role serving... ...achieve targets. Metrics include (but not limited to): Denial trends, appeals & recoveries Length of stay- inpatient and observation...Full timeRelocation package
$300k - $350k
...service, hospice and a network of physician practices across the island.... ...alignment with the Physician Advisor’s assigned facility, as well... ...utilization/management, denial management issues, discharge... ...Advisor input. Management of appeals process, post-discharge review...- ...Physician Advisor The Physician Advisor acts as a liaison between the physicians, Clinical... ...provide input on medical necessity and denial cases. Provides feedback to attendings... ...for cases that have been denied concurrently. Conducts clinical review on cases...Local area
- ...Healthcare to lead the national search for a Physician Advisor. UConn John Dempsey Hospital,... ..., clinical documentation integrity, denial management, regulatory compliance, and... ...clinical reviews, support denial appeals and peer-to-peer reviews and participate...
$98.65 - $147.98 per hour
...Shift: Description: Position Title: Physician Advisor Type of Position: Exempt What We... ..., resource utilization/management, denial management issues, discharge planning (... ...written Peer to Peer reviews to assist with appeals of denied or downgraded coverage...Hourly payFull timeFor contractorsWork at officeLocal areaFlexible hoursShift work- ...Physician Advisor Provides consultation on the level of care, utilization of resources, discharge... ...and appropriateness of care, payment denials, and other issues. Consults with... ...denials from Payors – 40% Writes backend appeals to overturn denials from Payor. Consults...Shift work
$98.65 - $147.98 per hour
...Type: Full time Shift: Position Title: Physician Advisor Type of Position: Exempt What We... ...activities, resource utilization/management, denial management issues, discharge planning (... ...Peer to Peer reviews to assist with appeals of denied or downgraded coverage...Hourly payFull timeFor contractorsWork at officeLocal areaFlexible hoursShift work
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