- AdventHealth (Orlando, FL)
- …Business or Healthcare Administration Two (2) years or greater experience as a Physician Advisor Prior experience with third party payors preferred **LICENSURE, ... of correct disease reporting and ICD code capture for physician /hospital performance profiling, E&M payment, pay-for-performance and hospital reimbursement. Educate… more
- Sedgwick (Orlando, FL)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Vighter Medical Group (Orlando, FL)
- …and adults, to include emergency and urgent care. + Consults with the Supervising Physician , Physician , or Pediatric Advisor for complex medical, pediatric, ... services under the medical direction of the National Medical Director and Physician Supervisors who collaborate with CBP's Office of the Chief Medical Officer… more
- AdventHealth (Maitland, FL)
- …Management concerns or barriers Escalates operational and/or financial concerns to Physician Advisor (s) as appropriate Determines proactive strategies and ... methods necessary for a high-performance culture related to Care Management Identifies process improvement opportunities and develops, implements and monitors action plans based upon identified Care Management metrics Educates and mentors facility Care… more
- Travelers Insurance Company (Orlando, FL)
- …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... to provide medical information and disability status necessary to create an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred Provider Network per… more
- AdventHealth (Altamonte Springs, FL)
- …maintaining compliance with overall policies. The executive is the financial counselor/ advisor for the organization. The CFO plans, organizes, and administers the ... structure to comply with regulations | Interface with AHS Physician Enterprise | Evaluation and creation of proformas for...and creation of proformas for all new and proposed physician practices & services | Coordination of third party… more
- AdventHealth (Maitland, FL)
- …is observed and pertains to their down line. . Serves as a clinical advisor and chair for design and construction meetings for practice moves, acquisitions, and new ... . Bachelor's Degree BSN or higher . Prior experience in a physician office . Prior experience with Performance Improvement, Quality Assessment and Assurance,… more
- AssistRx (Orlando, FL)
- …point of contact during implementation, and maintain position as trusted advisor to clients. + Define implementation projects, execute tasks, complete deliverables, ... different in patients' lives and reducing the administrative burden on physician offices. + Bachelor's Degree (preferably in Management Information Systems, Computer… more