About this opportunity
Washington & West, LLC lists this Physician Advisor opportunity in towson, Maryland. Review the employer’s description below for duties, qualifications and application requirements.
Job description
We are a full-service denial and appeals management company that actively pursues
the recovery of funds from health insurance payors who have wrongfully denied
claims, underpaid claims, or who are extremely slow to pay.
Job Description
We’re looking for self‑motivated FT/PT Physician Advisors to join our team.
The Physician Advisor serves as a clinical resource to medical staff by providing identification, facilitation and resolution of utilization issues. The Physician Advisor addresses the following issues: peer to peer reviews, compliance, level of care, length of stay, hospital reimbursement and quality issues for our hospital clients.
The Physician Advisor also serves as an expert on appeals and will represent client hospitals where claims were denied by either governmental contractors or commercial payers. The position will involve a thorough review of patient clinical and hospital course documentation and payer policy and denial information.
Qualifications
Candidates must apply on our website for consideration
A successful candidate must have:
Active, unrestricted MD or DO medical licensure
Experience in a clinical environment and the ability to use sound judgment in reviewing clinical documentation supporting patient care.
At least 3 years of experience post‑residency, clinical practice experience
Strong clinical knowledge base
Must be computer proficient
Strong verbal and written communication skills
Must be professional, organized and possess persuasive writing and speaking skills
Possess strong negotiating/reasoning/logic and problem‑solving skills
Must have the ability to perform case reviews across multiple specialties
Able to play a dynamic role with ability to adapt to constant change as needs change
Additional Information
All your information will be kept confidential according to EEO guidelines.
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Worksite address
towson, MD, 21286, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.