Company DescriptionWho Are WeWe are a full-service denial and appeals management company that actively pursuesthe recovery of funds from health insurance payors who have wrongfully deniedclaims, underpaid claims, or who are extremely slow to pay. Job DescriptionWe’re looking for self-motivated FT/PT Physician Advisors to join our team.The Physician Advisor serves as a clinical resource to medical staff by providing identification, facilitation and resolution of utilization issues. The Physician Advisor addresses the following issues: peer to peer reviews, compliance, level of care, length of stay, hospital reimbursement and quality issues for our hospital clients.The Physician Advisor also serves as an expert on appeals and will represent client hospitals where claims were denied by either governmental contractors or commercial payers. The position will involve a thorough review of patient clinical and hospital course documentation and payer policy and denial information.QualificationsTo apply for this position please visit our website at:https://recruiting.myapps.paychex.com/appone/MainInfoReq.asp?R_ID=1551750**Candidates must apply on our website for consideration**A successful candidate must have:Active, unrestricted MD or DO medical licensureExperience in a clinical environment and the ability to use sound judgment in reviewing clinical documentation supporting patient care.At least 3 year of experience post-residency, clinical practice experienceStrong clinical knowledge baseMust be computer proficientStrong verbal and written communication skillsMust be professional, organized and possess persuasive writing and speaking skillsPossess strong negotiating/reasoning/logic and problem-solving skillsMust have the ability to perform case reviews across multiple specialtiesAble to play a dynamic role with ability to adapt to constant change as needs changeInpatient experience strongly desiredAdditional InformationAll your information will be kept confidential according to EEO guidelines.