On-site Physician Advisor Position in Coastal Virginia Near the Metropolitan Northern Virginia Area - Woodbridge, VA

Only for registered members Woodbridge, VA, United States

3 days ago

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Job summary

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities.

Responsibilities

  • Perform timely and compliant medical necessity reviews, providing clear documentation of the pertinent details of the case to satisfy regulatory requirements and directly communicating any necessary
  • Facilitate denials management through review of selected cases, conducting peer to peer discussion with third party payers as appropriate, and assisting with appeals letters

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