On-site Physician Advisor Position in Suffolk, Virginia
4 days ago
The Physician Advisor plays a crucial role in ensuring compliant hospital status and billing for patients. This position requires a strong understanding of regulatory requirements and the ability to communicate effectively with medical staff and hospital leadership.
The ideal candidate will have a medical degree, board certification, and at least 3 years of clinical experience. They will also possess excellent customer service and interpersonal skills, as well as the ability to present information effectively.
This is a tobacco-free environment, and Sentara Healthcare values diversity and inclusiveness. The organization is committed to ensuring its workforce reflects the communities it serves.
Responsibilities- Perform timely and compliant medical necessity reviews
- Facilitate denials management and assist with appeals letters
- Work closely with hospital leadership, medical staff, and hospital ICM leaders to support system CPIs and initiatives
- Attend and participate in Hospital UM committees at designated sites
- Complete training and continuing education as deemed necessary
- Attend and participate in educational presentations to medical staff, administration, leadership, and peers
- Completion of Medical doctorate or Doctor of Osteopathy degree from an accredited medical school
- Completion of an accredited residency training program
- Minimum of 3 years of clinical experience, hospital clinical experience strongly preferred
- Active and unrestricted state Virginia medical license
- Board certification in specialty required at time of hire
- Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient-specific variables as may be necessary or justifiable
- Familiarity with (Hospital) organization and case management operations
- Excellent customer service and interpersonal skills
- Able to effectively present information, both formal and informal
- Superb written and verbal communications skills
- Ability to set and manage priorities
- Demonstrate flexibility, teamwork, and a collaborative leadership style
- Strong technical/computer skills and working knowledge of the system's EMR
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Physician Advisor Position in Suffolk, Virginia
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