Remote Physician Advisor - Payer Peer-to-Peer Reviews

R1 RCM Holdco Inc.; Georgia; Hybrid; USD 150,000 - 199,000; Full time

Benefits offered by this job

Annual bonus plan

Job summary

R1 is seeking a Physician Advisor to review payor denial cases, evaluating documentation for admission status, procedure, and care setting. You will discuss cases with payor medical directors and provide written analysis across multiple specialties.

The role requires an active MD/DO license in the US and at least 3 years of post-residency clinical experience. This is a remote position with a target annual bonus of 10% and base pay disclosed.

Qualifications

• Active, unrestricted MD or DO medical licensure.
• Minimum 3+ years of clinical experience post-residency.
• US-based role with base pay range disclosed.

Responsibilities

• Review payor peer-to-peer cases for authorization status.
• Assess documentation for admission status, procedure, and care setting.
• Discuss cases with payor medical directors to determine authorization.
• Provide written analysis and case reviews across multiple specialties.
• Serve as a clinical resource to staff addressing documentation and utilization issues.

Skills

MD/DO licensure

Clinical experience

Education

MD/DO degree

Job description

R1 is seeking a Physician Advisor to review payor denial cases, evaluating documentation for admission status, procedure, and care setting. You will discuss cases with payor medical directors and provide written analysis across multiple specialties.

The role requires an active MD/DO license in the US and at least 3 years of post-residency clinical experience. This is a remote position with a target annual bonus of 10% and base pay disclosed.