Overview

Our teams shape strategic initiatives, have passion, and work to improve health outcomes. They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do. Indiana University Health is seeking individuals who embody these values to join our Denial Management team in the role of RCS-Physician Advisor. This position is Full Time and Remote.

Role Responsibilities

• Acts as a liaison between IU Health Revenue Cycle Services, hospital administration, and clinical staff, aiding in the optimization of hospital services, resource utilization, and medical necessity reviews.
• Provides clinical expertise and support to the IUH Utilization Management team and their work related to authorizations, concurrent reviews and payor denials.

Key Relationships

Reports to: RCS-Medical Director

Candidate Qualifications

Candidates for the position will be evaluated according to the following criteria and competencies.

• Medical degree and board certification in a recognized medical or surgical specialty required.
• Relevant experience preferred.
• Current licensure to practice medicine.
• Clinical experience in a hospital setting.
• Understanding of clinical utilization review and healthcare regulations.
• Knowledge of current medical coding and billing practices.
• Excellent communication and interpersonal skills.
• Strong leadership abilities and a collaborative approach to problem-solving.
• Requires along with knowledge in the areas of Medical Necessity, health care regulatory requirements, and an understanding of medical coding and billing.

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. IU Health leaders play a crucial role in advancing the mission of our organization and inspiring teams to make a meaningful difference in the lives of patients. As one of Indiana's largest employers and the most comprehensive medical system in the state, our vision is to lead the transformation of healthcare through quality, innovation and education, and make Indiana one of the nation's healthiest states.

IU Health is the largest health system in Indiana with nearly 40,000 team members, 15 hospitals, and $8.64 billion in operating revenue. The system's programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics and transplants have received national recognition for quality patient care. IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world-class care for children and adults and improve the health of patients and communities across Indiana.

Indiana University Health is dedicated to a fair hiring process and is committed to equal opportunity and nondiscrimination for all individuals, regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, gender identity, expression, sexual orientation, or veteran status.