Job Description Position Title: Physician Advisor
Position Code: PhyAdv-6027
Department: Case Management
Oracle Title: Physician Advisor-6027
Reports to: Director
Safety Sensitive: ☒ Yes ☐ No
Exempt Status: ☒ Yes ☐ No
Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.
Key Responsibilities - 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...