- Addresses the following issues: compliance and admission status.
- Review and respond to the customer in a timely manner; usually within 1-2 hours of the submission to the queue.
- 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.
- Successful physicians will need to meet quality and productivity standards.
- Actively engage with attending physicians to discuss appropriate status as supported by documentation.
- Make phone contact with utilization review team and/or case managers at client hospitals regarding submitted case determinations.
- Provide written analysis of the case and perform case reviews across multiple specialties.
Required Qualifications
- Active, unrestricted U.S. MD or DO medical licensure.
- 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 flexibility with schedule to meet business need.
- Schedules may vary based on business need with the majority of business need late afternoon and evenings on weekdays, and mid-day to evenings on weekends
- Weekend work commitment required to include 30% or more of hours on the weekend to include Friday at 7pm through Sunday at midnight EST based on business needs.
- Ability to work as part of a team.
- Home office that is HIPAA compliant.
Desired Qualifications
- Current Board Certification
- Previous experience with utilization review or chart review
For this US-based position, the base pay range is $150,075.00 - $199,070.29 per year . Individual pay i
📌 Pas Physician Advisor (Argentina)
🏢 R1 RCM
📍 Argentina
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