Payer Peer to Peer Physician Advisor
Posted Aug 27, 2026 · We last checked this listing on Oct 6, 2026
Likely interview questions for this role
Written from this job description, not a generic list. Each one notes what the interviewer is really checking.
About your past
Tell me about a time you reviewed a case and concluded the denial was correct. What did you tell the client?
What they are checking: Whether they put compliance ahead of winning, since the goal is compliant revenue.
Tell me about a time you had to give feedback to a physician about their documentation.
What they are checking: Whether they can educate peers tactfully, which helps clients avoid future denials.
What makes you effective on a phone call with another physician who disagrees with you?
What they are checking: Whether they stay collegial, concise and persuasive under disagreement.
Why are you interested in physician advisor work rather than direct patient care?
What they are checking: Whether they are drawn to utilization review itself, which predicts staying in a production-driven role.
What would you do
The payor medical director says the case should have been observation. How do you argue for inpatient status?
What they are checking: Whether they can make a clear, evidence-based clinical argument without becoming adversarial.
This role covers many clinical areas. How do you handle a case outside your own specialty?
What they are checking: Whether they know their limits and research carefully rather than bluffing on unfamiliar clinical areas.
You have a full queue of peer-to-peer calls with tight payor deadlines. How do you manage your day?
What they are checking: Whether they can prioritize by deadline and value while working independently in a remote role.
About the work
Walk me through how you prepare for a peer-to-peer call on a denied inpatient admission.
What they are checking: Whether they review the record efficiently and build a case around the criteria the payor actually uses.
How do you apply the Two-Midnight Rule and criteria like InterQual or MCG when they seem to point different ways?
What they are checking: Whether they understand both regulation and screening tools and know how physician judgment fits in.
How do you decide whether the documentation supports the procedure and care setting that were requested?
What they are checking: Whether they can tell a documentation gap from a true medical necessity problem.
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Practice this out loudThe full job description
As published by R1 RCM.