[Hiring] 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.