R1 RCM logo
R1 RCM

Technology-driven revenue cycle management services for healthcare providers.

PAS Physician Advisor

ConsultantConsultantPart TimeRemoteMid LevelTeam 10,001+Since 2017H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

16 days ago

Salary

$150.1K - $199.1K / year

Seniority

Mid Level

No structured requirement data.

Job Description

PAS Physician Advisor

R1 RCM

Role Description R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals, and physician practices. The R1 Physician Advisory Services (Treatment Authorization Request) team offers a range of services that help navigate the path to compliant revenue. - Addresses medical necessity reviews for Medi-Cal payor regulations. - Review and respond to the customer in a timely manner. - Must work during pre-scheduled hours to be highly successful in this role (schedules are created about 30 days in advance). - Physicians should be highly capable of working independently with a high level of performance in a rapidly changing, fast-paced environment. - Meet quality and productivity standards. - Actively engage with attending physicians to discuss appropriate status as supported by documentation. - Provide written analysis of the case and perform case reviews across multiple specialties. Qualifications - Active, unrestricted MD or DO medical licensure in the state of California. - At least 3 years of experience post-residency completion, focused on treatment of inpatients. - Strong clinical knowledge base across multiple clinical areas. - Computer proficient. - Strong verbal and written communication skills. - Professional, organized and possess persuasive writing and speaking skills. - Possess strong negotiating, reasoning, logic, and problem-solving skills. - Must have some flexibility to meet a 20 hours a week schedule and cover times of business need. - Must be available for some set weekend hours or to flex to weekend hours as needed for business needs. - Ability to work as part of a team. - Home office that is HIPAA compliant. Requirements - Current Board Certification or eligibility. - Previous experience with utilization review or chart review. - Previous experience with California Medicaid (Medi-Cal) payer rules. Benefits - Base pay range is $150,075.00 - $199,070.29 per year. - Eligible to participate in our annual bonus plan at a target of 10.00%. - Competitive benefits package.

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