Medical Director - Denials Management

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May 25

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CorroHealth

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Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

📋 Description

• Evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals • Perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission status • Offer a career path that allows you to continue using your clinical knowledge, drive value to hospitals, while providing a predictable schedule • Allow for work/life balance while expanding your knowledge base in Utilization Review • Perform Peer-to-Peer case discussions with payer medical directors • Utilize clinical expertise to identify the salient points within a case review • Perform focused real-time and post-discharge hospital case reviews in hospital’s EMR • Identify areas of process improvements and inefficiencies • Perform related duties and projects as assigned

🎯 Requirements

• MD or DO degree with strong clinical knowledge • Active unrestricted medical license in at least one state within the United States • Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred) • At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience • Working knowledge of hospitals’ EMR • Computer proficient • Excellent verbal and written communication skills • Team Player

🏖️ Benefits

• Quality of life with a remote predictable, full-time schedule • Comprehensive training and education program • Opportunities for career growth within the organization • Salary plus bonus opportunities • Medical, Dental, Vision coverage, 401K • Holidays, paid time off, long-term disability insurance, and life insurance • Allowance for CME and/or license renewals