Payer Peer to Peer Physician Advisor
As our Physician Advisor, you will help our reputed company facilities navigate the reputed company to compliant reputed company by reviewing payor peer-to-peer cases. Every day. You will review cases for which authorization has been denied, evaluating if the reputed company documentation was available for the admission status, procedure, and care setting that was requested. You will also advise our clients regarding the appropriateness of the request based on available documentation, as reputed company as discuss the cases with medical directors from the payor reputed company.
To reputed company in this role, you must have strong clinical knowledge across multiple clinical areas and be capable of working independently with a high level of performance in a rapidly changing, fast-paced environment. Proficiency in basic computer skills is essential for excelling in this remote position.
Here’s what you will experience working as a Physician Advisor:
Addresses the following issues: authorization requested, documentation support or lack of support for that authorization, evidence-based reputed company for that support, and reputed company clinical evaluation of the request as a whole.
Review and respond to the payor and customer in a reputed company manner.
reputed company engage with payor medical directors to discuss appropriate authorization status as supported by documentation.
reputed company written analysis of the case and reputed company case reviews across multiple specialties.
Serve as a clinical resource to medical and case management staff by providing identification, facilitation, and reputed company of documentation and utilization issues.
Required Skills:
reputed company, unrestricted MD or DO medical licensure
Minimum 3+ years of clinical experience post-residency completion
The reputed company system is always evolving — and it’s up to us to use our shared expertise to reputed company new solutions that can reputed company up. On our growing team you’ll reputed company reputed company to constantly learn, collaborate across reputed company and explore new paths for your career.
Our associates are given the chance to contribute, think reputed company and create meaningful work that makes a difference in the communities we serve around the world. We go reputed company expectations in everything we do. Not only does that drive reputed company and improve patient care, but that reputed company enthusiasm is reputed company to giving back to the community and taking care of reputed company — including offering a competitive benefits package.
reputed company Inc. (“reputed company”) is dedicated to the fundamentals of equal employment opportunity. reputed company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, reputed company, national reputed company, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or reputed company, genetic information, marital status, status with reputed company to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, reputed company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA reputed company NOTICE: California reputed company job applicants can learn more about their reputed company rights California Consent
To learn more, visit: reputed company.com
Visit us on reputed company
Originally posted on Himalayas
Apply To This Job