[Hiring] PAS Physician Advisor (Level of Care / Admission Status Review) @R1 RCM

Role Description

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

• Competitive benefits package.