Physician Advisory Coordinator

HCA Healthcare; Nashville (TN); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) with match

Tuition assistance

Employee stock purchase plan

Flexible spending accounts

Fertility and family building benefits

Job summary

HCA Healthcare is seeking a Physician Advisory Coordinator to streamline communication between Physician Advisors and in-house medical directors. The role supports peer-to-peer reviews, denial strategies, and cross-team workflow across URS, PDU, and related departments.

The ideal candidate has 2–3 years of denial coordination or related experience, strong communication skills, and proficiency with payer portals and office software. College degree preferred.

Qualifications

• College degree preferred.

Responsibilities

• Set up and coordinate Peer to Peer (P2P) reviews for Physician Advisors.
• Collaborate with URS and Division PAs on denial and P2P strategies.
• Manage multiple calendars and sending/receiving Outlook invitations.
• Maintain knowledge of payer denial strategies and contractual agreements.
• Monitor and report P2P outcomes across data sources.

Skills

Communication

Time management

Relationship building

Self-motivation

Team collaboration

Education

College degree

Tools

OnBase

ARTIVA

Meditech

MIDAS

HPF

Job description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Physician Advisory Coordinator

Job Summary And Qualifications

The Physician Advisor Coordinator will assist in establishing communication between Physician Advisors and in-house insurance Medical Directors for the purposes of ensuring Physician Advisors peer to peer work efforts with external health plans. This individual will be responsible for maintaining reports of outcomes and system process flows between multiple enterprise teams such as Case Management, Corporate Utilization Review Services (URS) team, Pre-bill Denial Units (PDU), and on Authorization and Medical Necessity Denials.

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

• Responsible for setting up and coordinating Peer to Peer (P2P) reviews for Physician Advisors (PA)
• Work with URS and Division PA’s on denial and P2P strategies
• Manages multiple calendars and sending/receiving appointment invites through Outlook
• Maintain knowledge of commercial payer denial, authorization strategies/ practices, and contractual agreements
• Possess current knowledge of CMS, Corporate and Division UR requirements and billing procedures
• Monitor P2P’s and observation (OBS) vs inpatient (IP) cases
• Monitor and update MIDAS with pertinent information
• Prepare monthly P2P reports from multiple data sources
• Maintain P2P impact report for the Physician Advisors
• Attends Monthly DMAT calls to provide impact on new denials
• Practice and adheres to the HCA corporate culture, “Code of Conduct” and “Mission and Value Statements.”

KNOWLEDGE, SKILLS & ABILITIES:

• Exceptional written and verbal communications skills
• Proficient in Microsoft Office applications, data base & internet queries (OnBase, ARTIVA, Meditech, MIDAS, HPF)
• Proficiency in typing (60 words per minute), and 10 key skills
• Conducts all activities with personal integrity, dignity, respect and civility
• Independent and self-motivated with time management expertise
• Maintains long-term customer relationships, building trust and respect; consistently exceeding expectations
• Works effectively with physicians, employees, associates and external parties
• Proficient using all health plan “Payer” portals

EDUCATION

• College degree Preferred

Experience

• Minimum of 2 – 3 years of Denial Coordinator, PDU, SSC and/or PTAC experience preferred

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.