Physician Advisor
R1 RCM(4 months ago)
About this role
R1 is hiring a Physician Advisor to support client hospitals and health systems in achieving compliant reimbursement by clinically evaluating payor peer-to-peer authorization denials. The role involves independent clinical case assessment and communication with payor medical directors to support appropriate admission status, procedures, and care settings. This is a remote, US-based position within a fast-paced healthcare revenue cycle environment.
Required Skills
- Case Review
- Utilization Management
- Clinical Documentation
- Peer-To-Peer
- Medical Necessity
- Evidence-Based Criteria
- Written Analysis
- Payor Relations
- Authorization Review
- Clinical Advisory
+1 more
Qualifications
- MD
- DO
- Active Medical License
About R1 RCM
r1rcm.comR1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.
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