▷ [Inicio Inmediato] Medical Specialist - Utilization Review...

Medical Specialists Needed for Utilization Review

We are seeking medical professionals to join our team in a dynamic and challenging role. As a Physician Advisor, you will be responsible for conducting comprehensive reviews of patient admissions, services, and length of stay to ensure medical necessity and alignment with reimbursement policies.

Key Responsibilities :

• Conduct detailed assessments of patient care to identify areas for improvement and opportunities for cost savings.
• Work closely with treating physicians to ensure accurate and complete clinical documentation.
• Analyze and appeal clinical denials from insurance payers by providing robust medical necessity letters and compiling supporting evidence from medical records.
• Maintain up-to-date knowledge of medical policies, procedures, and regulations to ensure compliance and optimal patient outcomes.

Requirements :

Why Join Us?