Remote Physician Advisor: Payer Utilization & Case Reviews

RCM Holdco; United States; Remote; USD 150.000 - 199.000; Vollzeit

Benefits dieser Stelle

Annual bonus plan

Zusammenfassung

R1 RCM Inc. is seeking a Physician Advisor to support client facilities by reviewing payor peer-to-peer cases daily, evaluating authorization requests, and ensuring documentation supports admission status, procedure, and care setting.

You will discuss cases with payor medical directors, provide written analyses, and serve as a clinical resource to case management teams. A valid MD or DO license and 3+ years of clinical experience are required; this is a remote, US-based role with a target annual

Qualifikationen

• Active, unrestricted MD or DO medical licensure.
• Minimum 3+ years of clinical experience post-residency completion.

Aufgaben

• Review payor peer-to-peer cases daily and evaluate authorization requests.
• Advise on the appropriateness of requests based on documentation.
• Discuss cases with payor medical directors to determine proper authorization status.
• Provide written analyses and perform case reviews across multiple specialties.
• Serve as a clinical resource to medical and case management staff to resolve documentation and utilization issues.

Kenntnisse

MD/DO licensure

Clinical experience

Jobbeschreibung

R1 RCM Inc. is seeking a Physician Advisor to support client facilities by reviewing payor peer-to-peer cases daily, evaluating authorization requests, and ensuring documentation supports admission status, procedure, and care setting.

You will discuss cases with payor medical directors, provide written analyses, and serve as a clinical resource to case management teams. A valid MD or DO license and 3+ years of clinical experience are required; this is a remote, US-based role with a target annual