Remote Physician Advisor: Payor Authorization & Review

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

Benefits offered by this job

Annual bonus 10%

Job summary

R1 RCM, Inc. is seeking a Physician Advisor to review payor peer-to-peer cases and advise on authorization status across multiple specialties in a fully remote US role.

You will evaluate documentation, discuss cases with payor medical directors, and provide written analyses to support compliant revenue and reimbursement for client facilities while adapting to a fast-paced environment. Strong clinical knowledge and independent work style are essential, along with proficiency in basic computer

Qualifications

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

Responsibilities

• Review authorization requests and determine documentation adequacy.
• Provide written analyses of cases with emphasis on appropriate criteria.
• Engage with payor medical directors to discuss authorization status.
• Perform case reviews across multiple specialties.
• Serve as a clinical resource to staff for documentation and utilization issues.

Skills

MD/DO licensure

Clinical experience 3+ yrs

Job description

R1 RCM, Inc. is seeking a Physician Advisor to review payor peer-to-peer cases and advise on authorization status across multiple specialties in a fully remote US role.

You will evaluate documentation, discuss cases with payor medical directors, and provide written analyses to support compliant revenue and reimbursement for client facilities while adapting to a fast-paced environment. Strong clinical knowledge and independent work style are essential, along with proficiency in basic computer