[Hiring] PAS Physician Advisor @R1 RCM

Role Description

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation, and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems, and medical groups improve financial performance, simplify administrative complexity, and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations, and support functions, our people bring deep expertise, empathy, and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation, and every voice can help shape what’s next for R1 and the future of healthcare.

The R1 Physician Advisory Solutions (PAS) team offers a range of services that help navigate the path to compliant revenue. The Admission Status Review (ASR) team of physician advisors within PAS proactively reviews cases concurrently and post-discharge to ensure compliant admission status, which increases compliance and reduces the risk of exposure to denials.

• 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.

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.

Requirements

• This US-based position has a base pay range of $150,075.00 - $199,070.29 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
• This job is eligible to participate in our annual bonus plan at a target of 10.00%.

Benefits

• Opportunity to constantly learn, collaborate across groups, and explore new paths for your career.
• Chance to contribute, think boldly, and create meaningful work that makes a difference in the communities we serve.
• Competitive benefits package.