Physician Advisor
St. Joseph's Health•Paterson, NJ
•$160 - $180•Onsite
About The Position
The Physician Advisor (PA) role is responsible for completing detailed reviews of complex patient cases to ensure appropriate plan of care and resource management. An enhanced case review by the PA is necessary to reduce denials and resource utilization issues. PA responsibilities include but are not limited to enhanced utilization review, comprehensive management of denials and appeals, effective partnership with Care Management and Social Work, expertise in insurance regulation and compliance, and availability for provider education.
Requirements
- Detailed reviews of complex patient cases
- Ensure appropriate plan of care and resource management
- Reduce denials and resource utilization issues
Responsibilities
- Enhanced utilization review
- Comprehensive management of denials and appeals
- Effective partnership with Care Management and Social Work
- Expertise in insurance regulation and compliance
- Availability for provider education
Benefits
- Competitive salary
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match
- Health & Wellness
- Non-Profit Health System – eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
No Education Listed
