At a Glance
- Tasks: Conduct medical necessity reviews and assist with denials management in a hospital setting.
- Company: Sentara Health is a leading healthcare provider dedicated to improving health every day.
- Benefits: Enjoy medical, dental, vision plans, tuition assistance, and generous paid time off.
- Other info: Diversity and inclusion are core values; this is a tobacco-free workplace.
- Why this job: Join a collaborative team making a real impact on patient care and hospital operations.
- Qualifications: Must have a medical degree, active Virginia license, and 3 years of clinical experience.
The predicted salary is between 36000 - 60000 £ per year.
2 days ago Be among the first 25 applicants
Overview:
The On-Site Physician Advisor (OSPA) 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. The Physician Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients and strengthening relationships between Clinical Revenue Cycle, UR, hospital leadership, medical staff, and hospital ICM. The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.
City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
The On-Site Physician Advisor (OSPA) 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. The Physician Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients and strengthening relationships between Clinical Revenue Cycle, UR, hospital leadership, medical staff, and hospital ICM. The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.
As this role’s duties include significant interpersonal and relational aspects in addition to regulatory training and licensing requirements, an active and unrestricted Virginia medical license and board-certified status at the time of hire are required, as well as superb interpersonal and communication skills. Due to the collaborative and highly relational nature of this role, on-site (in person) presence is integral. Coverage at additional sites may be required, including occasional in-person responsibilities. The position reports to the Director of Regional Physician Advisors to Clinical Revenue Cycle.
- 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
- Work closely with hospital leadership, medical staff, and hospital ICM leaders to support system CPIs and initiatives
- Attend and participate in Hospital UM committees at designated sites
- Complete training and continuing education as deemed necessary
- Attend and participate in educational presentations to medical staff, administration, leadership and peers
- Additional functions as deemed appropriate and warranted
Minimum Requirements:
- Completion of Medical doctorate or Doctor of Osteopathy degree from an accredited medical school
- Completion of an accredited residency training program
- Minimum of 3 years of clinical experience, hospital clinical experience strongly preferred
- Active and unrestricted state Virginia medical license
- Board certification in specialty required at time of hire
- Possess or acquire a working knowledge of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions
- Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments
- Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable
- Familiarity with (Hospital) organization and case management operations
- Excellent customer service and interpersonal skills.
- Able to effectively present information, both formal and informal
- Superb written and verbal communications skills
- Ability to set and manage priorities
- Demonstrate flexibility, teamwork, and a collaborative leadership style
- Strong technical/computer skills and working knowledge of the system’s EMR
Benefits: Caring For Your Family and Your Career
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Seniority level
-
Seniority level
Not Applicable
Employment type
-
Employment type
Full-time
Job function
-
Job function
Health Care Provider
-
Industries
Hospitals and Health Care
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Physician Advisor - Sentara Princess Anne in Northampton employer: Sentara Health
Sentara Pace is an exceptional employer that prioritises the well-being of its employees while providing vital services to the community. Located in Portsmouth, VA, our team enjoys a supportive work culture with comprehensive benefits, including medical, dental, and tuition reimbursement, alongside opportunities for career advancement. Join us to make a meaningful impact in the lives of the elderly while benefiting from a diverse and inclusive workplace.
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How to prepare for a job interview at Sentara Health
✨Brush Up on Clinical Knowledge
Since you're aiming for a role in human medicine, make sure you’re sharp on the latest clinical guidelines and practices relevant to the position. Be prepared to discuss case studies or scenarios you might encounter in the role. This will show that you're not just knowledgeable but also ready to apply that knowledge in real-life situations.
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✨Prepare for Ethical Scenarios
Ethics are a big deal in human medicine, so expect questions that assess your decision-making in tricky situations. Think about how you'd handle ethical dilemmas or patient confidentiality concerns. Prepare a few examples that illustrate your thought process and how you prioritise patient welfare in your decision-making.
