Remote Physician Advisor — Denial & Utilization

Indiana University Health; Indiana (PA); Remote; USD 200,000 - 250,000; Full time

Job summary

A leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board certification, along with clinical experience in a hospital setting. Responsibilities include liaising between IU Health Revenue Cycle Services and clinical staff, providing clinical expertise related to authorizations and payor denials. Seeking candidates with excellent communication skills and strong leadership abilities to help optimize hospital services and resource utilization.

Qualifications

• Current licensure to practice medicine.
• Relevant experience preferred.
• Clinical experience in a hospital setting.
• Understanding of clinical utilization review and healthcare regulations.
• Knowledge of current medical coding and billing practices.

Responsibilities

• Acts as a liaison between IU Health Revenue Cycle Services and clinical staff.
• Provides clinical expertise and support to authorizations and payor denials.

Skills

Excellent communication and interpersonal skills

Strong leadership abilities

Collaborative problem-solving

Education

Medical degree and board certification in a recognized medical or surgical specialty

Job description

A leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board certification, along with clinical experience in a hospital setting. Responsibilities include liaising between IU Health Revenue Cycle Services and clinical staff, providing clinical expertise related to authorizations and payor denials. Seeking candidates with excellent communication skills and strong leadership abilities to help optimize hospital services and resource utilization.