- AdventHealth (Altamonte Springs, FL)
- …**Schedule:** **FT** **Shift** : **Days** **The role you'll contribute:** The Onsite Physician Advisor provides primary support for Care Management (CM) and ... campus, as well as, the medical liaison for payor escalations. The Physician Advisor is responsible for educating, informing and advising members of the, Care… more
- AdventHealth (Maitland, FL)
- …**Days - This is On Site position** **The role you'll contribute:** As the physician advisor , the Executive Medical Director of Revenue Cycle educates, informs, ... including Utilization Management . Two years or greater experience as a Physician Advisor **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED** **:** . Current,… 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
- 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 (Orlando, 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
- AdventHealth (Tavares, FL)
- …and community agencies/liaisons. + Coordinate authorization/denial management communications with physician advisor , PFS, revenue management and registration. + ... Compile reports through Power Insight and Cerner/CPA for statistical data and reporting functions (ie: missing Medicare certifications, unsigned orders, register as orders and readmission detail). + Receive/direct telephone communications with case management… more
- Centene Corporation (Orlando, FL)
- …Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider ... practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting… 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