Remote Physician Advisor - Payor Peer-to-Peer Review

R1 RCM, Inc.; Accident (MD, AR); Remote; USD 150,000 - 199,000; Full time

Benefits offered by this job

Remote position

Annual bonus plan (10% target)

Job summary

R1 RCM Inc. is seeking a Physician Advisor for a remote US-based role to review payor-denied cases, assess documentation, and advise clients on appropriate authorization status with input from payor medical directors.

The position requires active MD/DO licensure and at least 3 years of clinical experience after residency. The role offers a competitive base salary between $150,075 and $199,070 per year with a target annual bonus of 10% and opportunities to collaborate across groups while

Qualifications

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

Responsibilities

• Addresses the following issues: authorization requested, documentation support or lack of support for that authorization, evidence-based criteria for that support, and complex clinical evaluation of the request as a whole.
• Review and respond to the payor and customer in a timely manner.
• Actively engage with payor medical directors to discuss appropriate authorization status as supported by documentation.
• Provide written analysis of the case and perform case reviews across multiple specialties.
• Serve as a clinical resource to medical and case management staff by providing identification, facilitation, and resolution of documentation and utilization issues.

Skills

MD/DO licensure

3+ years clinical experience

Job description

R1 RCM Inc. is seeking a Physician Advisor for a remote US-based role to review payor-denied cases, assess documentation, and advise clients on appropriate authorization status with input from payor medical directors.

The position requires active MD/DO licensure and at least 3 years of clinical experience after residency. The role offers a competitive base salary between $150,075 and $199,070 per year with a target annual bonus of 10% and opportunities to collaborate across groups while