Physician Advisor: Denials & Utilization Specialist

Washington & West, LLC; Towson (MD); On-site; USD 150,000 - 200,000; Full time

Job summary

Washington & West, LLC in Towson, Maryland, is seeking self-motivated FT/PT Physician Advisors to join our team. The Physician Advisor will serve as a clinical resource, addressing utilization issues, peer to peer reviews, and hospital reimbursement matters.

Ideal candidates must hold an active MD or DO licensure with at least 3 years of post-residency clinical experience. Strong communication skills, problem-solving abilities, and adaptability to change are essential for success in this dynamic role.

Qualifications

• Active, unrestricted MD or DO medical licensure is required.
• Experience in a clinical environment with sound judgement in clinical documentation.
• Strong computer proficiency necessary.

Responsibilities

• Serve as a clinical resource to medical staff for utilization issues.
• Conduct peer to peer reviews and address hospital reimbursement issues.
• Represent client hospitals in appeals of denied claims.

Skills

Clinical knowledge

Verbal communication

Written communication

Problem-solving

Negotiation

Education

MD or DO medical licensure

3+ years of post-residency experience

Job description

Washington & West, LLC in Towson, Maryland, is seeking self-motivated FT/PT Physician Advisors to join our team. The Physician Advisor will serve as a clinical resource, addressing utilization issues, peer to peer reviews, and hospital reimbursement matters.

Ideal candidates must hold an active MD or DO licensure with at least 3 years of post-residency clinical experience. Strong communication skills, problem-solving abilities, and adaptability to change are essential for success in this dynamic role.