- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Physician Advisor ** , you will help our client facilities ... this remote position. **Here's what you will experience working as a Physician Advisor :** + Addresses the following issues: authorization requested,… more
- Tenet Healthcare (Detroit, MI)
- …status and level of care per Tenet policy. Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation. ... processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures...medical staff on actionable items * Implements and monitors physician "peer to peer" review process with payers to… more
- Sedgwick (Southfield, MI)
- …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
- Sedgwick (Southfield, MI)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... plan.** **Carefully reviews and interprets detailed medical records-including attending physician statements, office notes, and operative reports-to assess whether… more
- Tenet Healthcare (Detroit, MI)
- …the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning ... of care based on Medical Necessity process and submits case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers… more
- Tenet Healthcare (Detroit, MI)
- …payors Performing accurate medical necessity screening and timely submission for Physician Advisor reviews Collaborating with payors, physicians, office staff ... level of care based on Medical Necessity and submits case for Secondary Physician review per Tenet policy Ensures timely communication and documentation of clinical… more
- Tenet Healthcare (Commerce Township, MI)
- …include the following activities: a) accurate LOS screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment ... and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h )… more
- Huntington National Bank (Detroit, MI)
- Description Job Summary: As a Treasury Management Advisor III - Corporate Healthcare, you will play a pivotal role in driving the growth and success of our treasury ... negotiation, and implementation. In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance and strategic advice on… more
- Hospice of Michigan (Southfield, MI)
- …and uses identified system(s) to meet the need. + Conferences with the Physician , Social Worker and Spiritual Care Advisor to provide assessment information ... hospice care to establish appropriate levels of care and to assist the physician in determining the patient's eligibility for hospice and determines scope and… more
- Hospice of Michigan (Southfield, MI)
- …patients' immediate needs upon admission and throughout care. + Confers with the physician , social worker and spiritual care advisor to provide assessment ... hospice care to establish appropriate levels of care and to assist the physician in determining the patient's eligibility for hospice and determine scope and… more
- Hospice of Michigan (Southfield, MI)
- …and provide patient and family oriented hospice services. Communicates with the Physician , Social Worker and Spiritual Care Advisor to provide assessment ... and technology available, communicates complete and accurate information to attending physician (s), other team disciplines and other departments in a timely manner.… more
- Corewell Health (Taylor, MI)
- …and documents on EPIC. Communicate with patients and physician /office regarding authorization/referral requirements. Obtain financial responsibility forms or ... EPIC tools. Provide information for follow up and referral to the Financial Advisor as appropriate. Initiate payment plans and obtain payment, Informs and explains… more
- Corewell Health (Royal Oak, MI)
- …and documents on EPIC. Communicate with patients and physician /office regarding authorization/referral requirements. Obtain financial responsibility forms or ... and calculate complex estimates prior to cases going to the Financial Advisor team. + Review/obtain/witness hospital consent forms, and Notice of Privacy Practices… more
- Huron Consulting Group (Detroit, MI)
- …Healthcare Provider Strategy & Innovation team, you will serve as a trusted advisor to C-suite executives and boards of leading healthcare organizations. You will ... Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc. + **Conceptual, Strategic and Problem-Solving Skills:**… more