Jan 04, 2025
$96.72 - $137.03 hourly
US:MI:SAGINAW DAY SHIFT FULL TIME BENEFITED *Summary:* The Physician Advisor acts as a liaison between the physicians, Utilization Management (UM) and Clinical Documentation Integrity (CDI), revenue cycle and the hospital administration. The Physician Advisor works as part of a team and advises physicians and hospital staff on best practices. The Physician Advisor is responsible for remaining current regarding payer rules, CMS regulations, and hospital contractual relationships. The Physician Advisor must demonstrate excellent customer service and a positive attitude. The Physician Advisor's actions internally and with external payers must be consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare. *Responsibilities:* Maintain the denial queues. Perform peer to peer conversations with Medicare advantage, Medicaid health plans, and commercial payers per regulatory and contractual agreements. Conduct a primary medical necessity...
Covenant HealthCare
Saginaw, MI, USA
Full time