Remote Physician Advisor: Payor Authorization & Case Review

R1 RCM, Inc.; Alabama; Remote; USD 150,000 - 199,000; Full time

Job summary

R1 RCM, Inc. is seeking a Physician Advisor for a remote US-based role. The position focuses on reviewing payor peer-to-peer cases to ensure proper documentation and appropriate authorization for admissions, procedures, and care settings.

You will discuss cases with payor medical directors, provide written analyses, and serve as a clinical resource to medical and case management staff in a fast-paced, evolving environment.

Qualifications

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

Responsibilities

• Review payor peer-to-peer cases for authorization.
• Advise payor medical directors on authorization status.
• Provide written analysis and case reviews across multiple specialties.
• Serve as a clinical resource to staff, facilitating and resolving documentation/utilization issues.

Skills

MD/DO licensure

Job description

R1 RCM, Inc. is seeking a Physician Advisor for a remote US-based role. The position focuses on reviewing payor peer-to-peer cases to ensure proper documentation and appropriate authorization for admissions, procedures, and care settings.

You will discuss cases with payor medical directors, provide written analyses, and serve as a clinical resource to medical and case management staff in a fast-paced, evolving environment.