Remote Physician Advisor: Payor Peer-to-Peer Reviews

R1 RCM, Inc.; Little Rock (AR); A distancia; USD 150.000 - 199.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Annual bonus plan

Competitive benefits package

Descripción de la vacante

R1 RCM Inc. is seeking a Physician Advisor to support client facilities in navigating compliant revenue by reviewing payor peer-to-peer cases and assessing whether proper documentation supports admission status, procedure, and care setting.

You will discuss cases with payor medical directors, provide written analysis across multiple specialties, and serve as a clinical resource to case management staff. This remote, fast-paced role requires strong clinical knowledge and independent work in a

Formación

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

Responsabilidades

• Addresses authorization requests and evaluates documentation for support.
• Review and respond to payor and customer promptly.
• Engage with payor medical directors to discuss authorization status.
• Provide written analysis of cases and perform reviews across specialties.
• Serve as a clinical resource to case management staff by identifying and resolving documentation issues.

Conocimientos

Active, unrestricted MD or DO lic.

Minimum 3+ years clinical experience

Descripción del empleo

R1 RCM Inc. is seeking a Physician Advisor to support client facilities in navigating compliant revenue by reviewing payor peer-to-peer cases and assessing whether proper documentation supports admission status, procedure, and care setting.

You will discuss cases with payor medical directors, provide written analysis across multiple specialties, and serve as a clinical resource to case management staff. This remote, fast-paced role requires strong clinical knowledge and independent work in a