Medical Necessity Denials Analyst for Physician Advisors

A leading healthcare provider in the United States is seeking a Physician Advisor Denials Analyst to manage clinical denials related to Medical Necessity. This role collaborates with Physician Advisors and Revenue Cycle teams to analyze denied claims, conduct reviews and ensure efficient workflows in the P2P review process. The ideal candidate will possess a Bachelor's Degree in a related field and a minimum of three years' experience in healthcare settings, emphasizing qualified denials management. Strong communication, analytical skills, and a thorough understanding of medical necessity criteria are essential for success in this position. #J-18808-Ljbffr