Physician / Medical Director

GENERAL SUMMARY:As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members of the Utilization Management, Case Management, Revenue Cycle, Patient Financial Services, Patient Access, AHS Managed Care departments and applicable Medical Staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. This position supports the CMO capacities at all facilities within the Central Florida Division South by ensuring the delivery of high-quality, efficient healthcare services throughout the continuum of care for the membership served by contracted medical group provider networks. The Executive Medical Director is an important contact for clinicians, external providers, contracted health insurance payers, and regulatory agencies. It also serves as subject matter expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality, patient focused and cost-effective medical care. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.Thanks,Bart Stever / Senior Physician Recruiter Top Docs, Inc.1025 Old Roswell Road, Suite 204, Roswell, GA Toll Free, / (c) /