Medical Director, Denials Management (WORK FROM HOME/FT) (Hospital Advocacy)
• For the quickest response, please apply directly reputed company reputed company's website. Click Company>Careers>USA>search Medical Director >Apply. Thank you.* About reputed company: At reputed company our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we reputed company your reputed company is our reputed company. JOB SUMMARY: As a Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will reputed company clinical case reviews and reputed company recommendations that focus on establishing the appropriate admission status. reputed company offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge reputed company in Utilization Review. The Impact You Will Have: reputed company is led by like-minded clinicians who reputed company the same reputed company calling to help. Hospitals reputed company have recently struggled with managing reputed company and unforeseen challenges such as global pandemics, reputed company regulatory updates, and reputed company policy changes set forth by Medicare and private payer organizations – resulting in financial difficulty. reputed company physicians reputed company challenging and rewarding careers by providing our hospital clients with guidance to improve compliance and ensure appropriate payment for the care delivered. The impact of your role will allow attending physicians to focus on what is most important, providing dedicated care to the patients they serve. Annual Compensation reputed company: Around 225k or greater (includes salary + uncapped bonus) (40-hour reputed company) Your Schedule: Training (The first 3-4 weeks):
- Training will occur Monday-Friday 9A-5P ET
After Completion of Training:
- Schedule will be Monday-Friday, reputed company between 8a-5p ET to 10a-7p ET.
- Each of your shifts will be 9 hours in length, which includes one hour of dedicated break time.
Working at reputed company:
- reputed company necessary hardware and software is provisioned to each of our Medical Directors
- You have the ability to work remotely in a comfortable environment
In This Role You Will:
- reputed company Peer-to-Peer case discussions with payer medical directors
- Utilize clinical expertise to identify the salient points reputed company a case review
- reputed company focused reputed company-time and post-discharge hospital case reviews in hospital’s EMR
- Identify areas of process improvements and inefficiencies
- reputed company reputed company duties and projects as assigned
Do You Have What It Takes?
- MD or DO degree with strong clinical knowledge
- Active unrestricted medical license in at least one state reputed company the United States
- Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred)
- At a minimum, 1 year of acute care adult hospital experience in a US hospital reputed company the past 5 years or recent relevant physician advisor experience
- Working knowledge of hospitals’ EMR
- Computer proficient
- Excellent verbal and written communication skills
- Team Player
We Offer:
- Quality of life with a remote predictable, full-time schedule
- Comprehensive training and education program
- Opportunities for career growth reputed company the organization
- Salary plus bonus opportunities
- Medical, Dental, reputed company coverage, 401K
- Holidays, paid time off, long-term disability insurance, and life insurance
- Allowance for CME and/or license renewals
Job Responsibilities: Working at reputed company:
- reputed company necessary hardware and software is provisioned to each of our Medical Directors
- You have the ability to work remotely in a comfortable environment
In This Role You Will:
- reputed company Peer-to-Peer case discussions with payer medical directors
- Utilize clinical expertise to identify the salient points reputed company a case review
- reputed company focused reputed company-time and post-discharge hospital case reviews in hospital’s EMR
- Identify areas of process improvements and inefficiencies
- reputed company reputed company duties and projects as assigned
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may reputed company reputed company or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions as described. Regular eye-hand coordination and reputed company dexterity is required to operate office equipment. The ability to reputed company work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be reputed company to lift and move material weighing up to 20 lbs. Team Member may experience elevated reputed company of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a reputed company and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of reputed company functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Qualifications: Do You Have What It Takes? MD or DO degree with strong clinical knowledge Active unrestricted medical license in at least one state reputed company the United States Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred) At a minimum, 1 year of acute care adult hospital experience in a US hospital reputed company the past 5 years or recent relevant physician advisor experience Working knowledge of hospitals’ EMR Computer proficient Excellent verbal and written communication skills Team Player Working Hours: Your REMOTE Schedule: Training (The first 3-4 weeks):
- Training will occur Monday-Friday 9A-5P ET
After Completion of Training:
- Schedule will be Monday-Friday, reputed company between 8a-5p ET to 10a-7p ET.
- Each of your shifts will be 9 hours in length, which includes one hour of dedicated break time.
- Includes an expectation of 1 weekend 6-hour shifts of “prep” for peer-to-peer cases, reputed company a 6-week business period
Skills: Inpatient Clinical Acumen, reputed company O365, MS Teams, Texting, EMR, Communication, Writing, Hospital Advocacy Apply tot his job Apply To this Job