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    Medical Director, Denials Management - Scottsdale, United States - CorroHealth

    CorroHealth
    CorroHealth Scottsdale, United States

    1 week ago

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    Description

    About CorroHealth:
    At CorroHealth, we aim to help clients surpass their financial health targets. With scalable solutions and clinical expertise throughout the reimbursement cycle, we address programmatic needs. Equipping our teams with cutting-edge technology enables data-driven solutions and maintains our commitment to achieving objectives.

    We foster lasting careers by investing in YOU. Our goal is to foster an environment that nurtures your professional advancement and personal development because we understand that your triumph is our triumph.

    JOB SUMMARY:

    As a Medical Director, Denials Management, you will evaluate hospitalizations nationwide by leveraging your medical expertise and serving as a trusted advisor to client hospitals. Your responsibilities will include conducting clinical case reviews and offering recommendations focused on establishing appropriate admission statuses. At CorroHealth, you will have a career trajectory that allows you to continue utilizing your clinical knowledge, deliver value to hospitals, and maintain a predictable schedule. This role offers the work-life balance you seek while expanding your expertise in Utilization Review.

    The Impact You Will Have:

    CorroHealth is guided by like-minded clinicians driven by a shared commitment to assisting others. Hospitals across the country have been facing challenges such as global pandemics, intricate regulatory changes, and evolving policy updates from Medicare and private payers, leading to financial hardships. CorroHealth's physicians engage in challenging yet rewarding careers by advising our hospital clients to enhance compliance and ensure proper compensation for provided care. Your contribution will enable attending physicians to concentrate on their primary mission of delivering dedicated care to their patients.

    Your Schedule:

    Training (First 3-4 weeks):

    • Training sessions from Monday to Friday, 9 AM to 5 PM ET

    After Completion of Training:

    • Monday to Friday schedule, ranging from 8 AM to 5 PM ET to 10 AM to 7 PM ET
    • Each shift will be 9 hours long, including a dedicated one-hour break
    • Expectation of one 6-hour weekend shift every 6 weeks for peer-to-peer case preparation

    Working at CorroHealth:

    • All essential hardware and software are provided to our Medical Directors
    • You have the option to work remotely in a comfortable setting

    In This Role You Will:

    • Conduct Peer-to-Peer case discussions with payer medical directors
    • Leverage clinical expertise to identify key aspects during a case review
    • Perform focused real-time and post-discharge hospital case reviews in the hospital's EMR
    • Identify areas for process enhancements and inefficiencies
    • Undertake assigned duties and projects

    Do You Have What It Takes?

    • MD or DO degree with substantial clinical knowledge
    • Active unrestricted medical license in at least one U.S. state
    • Specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, or Infectious Disease required; Board certification preferred
    • Minimum of 1 year of recent acute care adult hospital experience within the past 5 years or relevant physician advisor experience
    • Familiarity with hospital EMRs
    • Proficient in computer skills
    • Excellent written and verbal communication abilities
    • Team-oriented mindset

    We Offer:

    • Work-life balance with a remote full-time schedule
    • Thorough training and educational programs
    • Potential for advancement within the organization
    • Salary with bonus prospects
    • Benefits including Medical, Dental, Vision coverage, 401K, holidays, paid time off, disability insurance, life insurance, and CME/license renewal allowances

    ESSENTIAL DUTIES AND RESPONSIBILITIES:
    Note: The following essential duties and responsibilities outline the general tasks of this position and are not exhaustive. Additional responsibilities may be detailed in the Team Member's performance goals set by their leadership.

    PHYSICAL DEMANDS:
    Note: Reasonable accommodations can be made to support individuals with disabilities in performing the described functions.
    Regular eye-hand coordination and manual dexterity are necessary for operating office equipment. The ability to work at a computer terminal for 6-8 hours daily amid continual interruptions is vital. Team Members may be required to sit for extended periods and occasionally lift items up to 20 lbs. Stress levels may rise during peak activity periods and with multiple deadlines. A job description is a guide and not exhaustive. Additional duties may be assigned by supervisors as needed.

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