Physician Advisor: Payor Peer Review (Remote)
R1 RCM, Inc.
- Remote job
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 R1 RCM, Inc.
- 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 is seeking a Physician Advisor to review payor denial cases, evaluating documentation for admission status, procedure, and care setting. You will... ...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
- 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 workflow orchestration. 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 work$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$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- ...Physician Advisors Peer-to-Peer Medical Reviewers HJ Staffing is seeking two experienced, detail-oriented Physician Advisors Peer-to-Peer Medical Reviewers to conduct clinical discussions with treating providers regarding utilization management determinations. In...Night shift
$198k - $297k
...hospitals and affiliated physician groups. They offer... ...: The Physician Advisor provides leadership... ...compliance, performing Peer to Peer reviews, Short Stay Reviews,... ...Perform peer to peers with payors' medical directors... ...scale. - This is a remote position; however,...Remote workTemporary workWork at officeLocal 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
- 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
- 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
- ...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
$93.6k - $312k
...VAWork ShiftFirst (Days)Overview:Physician Advisor - Sentara Virginia Beach... ...and 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 employs...Remote workFull timeTemporary workShift work- ...team! Position Purpose: The Physician Advisor optimizes efficient management... ...40-hours/week) Monday-Friday REMOTE in the United States. Sponsorship... ...regulations. * Performs UM review functions including pre-... ...accreditation requirements and payor partner policies. * Uses, protects...Remote workFull timeFor contractorsLocal areaMonday to Friday
- ...Physician Advisor The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while... ...Serve as a trusted peer resource to attending physicians... ...cycle teams Experience in a remote or consulting healthcare environment...Remote 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
- ...Physician Advisor Lead The Physician Advisor Lead provides clinical leadership... ...Advisors, Utilization Review teams, and clients to improve... ...medical necessity determinations, peer-to-peer (P2P) performance,... ...Ability to work effectively in a remote, client-facing environment...Remote work
$230k
...Utilization Management Physician Reviewer We're building a world of health... ...Street Health Location: Fully Remote Hours: Full-Time, Monday -... ...requirements and payor partner policies Participate... ...risk arrangements, capitation, peer review, performance profiling...Remote workFull timeMonday to Friday- ...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
$250k - $350k
...Weekends) Location: MedStar Health - Remote / Telehealth (remote) MedStar Job ID: 166722 Physician Advisor - MedStar Multisite MedStar... ...care. In this role, you’ll Review patient status, medical necessity... ...retrospective denials management and peer to peer discussions with payers...Remote workFull time- 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- ...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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