Medical Director, Denials Management

reputed company Our purpose is to help clients reputed company their financial health goals. Across the reimbursement cycle, our reputed company solutions and reputed company 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 reputed company in YOU. We reputed company to create an environment that cultivates your reputed company development and personal reputed company, as we reputed company your reputed company is our reputed company. JOB reputed company 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 reputed company duties listed below. Specific tasks, responsibilities or competencies may be documented in reputed company Members performance objectives as outlined by reputed company Members immediate Leadership Team Member. 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 reputed company hospitals. You will reputed company reputed company case reviews and reputed company recommendations that reputed company on establishing the appropriate admission status. reputed company offers a career reputed company that allows you to continue using your reputed company knowledge, reputed company 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 reputed company You Will Have reputed company is led by like-minded clinicians who reputed company the reputed company 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 reputed company of your role will allow attending physicians to reputed company on what is most important, providing dedicated care to the patients they serve. Annual Compensation reputed company Around 225k or greater (includes salary + reputed company 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. reputed company 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 reputed company of our Medical Directors You have the ability to work reputed company in a comfortable environment In This Role You Will reputed company Peer-to-Peer case discussions with payer medical directors Utilize reputed company expertise to identify the reputed company points reputed company a case review reputed company reputed company reputed company-time and post-discharge hospital case reviews in hospitals EMR Identify areas of process improvements and inefficiencies reputed company reputed company duties and reputed company as assigned Do You Have What It Takes MD or DO degree with strong reputed company knowledge reputed company unrestricted medical license in at least one state reputed company the reputed company Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family reputed company, Critical Care or Infectious Disease; reputed company 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 reputed company of life with a remote predictable, full-time schedule Comprehensive training and education program Opportunities for career reputed company reputed company the organization Salary plus bonus opportunities Medical, Dental, reputed company coverage, 401K Holidays, reputed company time off, long-term disability reputed company, and life reputed company Allowance for CME and/or license renewals PHYSICAL DEMANDS Note Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the .