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- ...The Case Management Nurse Manager is responsible for overseeing the daily operations of the Case Management department and leading a team... ...Nurse) license in [state]. • Bachelor's degree in Nursing (BSN) preferred. • Previous experience in case management or care coordination...
60000 - 90000 Php
...excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing... ...or utilization management. Bachelor’s Degree in Nursing (BSN) preferred; minimum of an Associate Degree in Nursing (ADN) required...- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping... ...in the state of practice. Bachelor of Science in Nursing (BSN) preferred. Case Management Certification (e.g., CCM) is a...
- ...Job Title : Patient Consultation Booking Specialist (Registered Nurse OR Similar Degree, US Digital Health Co.) Location: Cebu, Philippines Job Type: Full-time, Onsite Role Summary The ideal candidate is a Registered Nurse or has a similar medical background...
- ...effective on-the-job coaching and feedback Understanding of end-to-end processes and appreciation of critical parameters Registered Nurse with at least 1 year of clinical and/or UM experience Ability to interpret assignments and understand department strategy...
- Certifications Basic Life Support (BLS) & First Aid Certification Advanced Cardiac Life Support (ACLS) - Recommended Occupational Health & Safety (OHS) Training (e.g., NEBOSH, OSHA, or equivalent First Responder or Emergency Medical Technician (EMT) Training...
- ...examination programs can shorten the path to any degree at virtually any college, the field where we have the most significant impact is the nursing profession. Employee engagement and development is one of the keys to our success at Achieve! Embracing a work-from-home model...
- ...Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Familiarity with medical necessity criteria, payer policies...
- A Customer Service Representative’s primary duty is to deliver great customer service. They often have the following customer service responsibilities: Providing introductory information, such as a product manual explanation, to prospective and new customers Handling...
- ...responsibility for processes and maintaining high work standards and procedures to ensure an accurate and timely payroll service to nurses and doctors. This is a great opportunity for the right person to move toward the next level of their career with payroll....
- ...Collaborate with payor sources to communicate clinical information and secure hospital reimbursement. Consult with physicians and nursing staff. Participate in interdisciplinary care rounds for effective communication with the care team. Use escalation pathways...
- ...Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Proficient in using coding software, encoders, and electronic...
- ...employment at Hbiz Solutions as a Clinical Appeals Specialist for at least 1 year (internal applicants only) Bachelor’s of Science in Nursing (or equivalent degree/certification) Three (3) years work experience as a Registered Nurse in a hospital or equivalent clinical...
- ...and submit periodic reports required by regulatory bodies. Collaboration and Professional Practice Coordinate with physicians, nurses, and other healthcare professionals regarding medication therapy. Participate in pharmacovigilance activities and adverse drug...
- ...identifying errors, gathering documentation, and preparing claims for reconsideration. The Audit Tech works closely with auditors, nurses, and claims specialists to minimize financial loss and improve claim acceptance rates. Key Responsibilities Review denied medical...
10 - 11 $ per hour
...responded to within 24 hours Requirements NON NEGOTIABLE HIRING REQUIREMENTS MUST HAVE medical field background (nurse/psychologist,etc) Essentia Strong organisational and time management skills - Excellent written and verbal English...- ...are hiring Medical Coding Team Leads for our ongoing ramp this quarter. I. Inpatient Coding - Team Leads Must have an active nursing license with CIC or CCS certification With at least 2 years in inpatient coding, preferably in DRG With at least 1 year of...
- Requirements: Registered Nurse (RN) license and certification. Minimum of 3 years nursing experience, preferably in occupational health. Strong knowledge of emergency medical procedures and first aid. Ability to work independently in a fast-paced environment. Excellent...
- ...collections, and participating in public tenders. DUTIES AND RESPONSIBILITIES: • Promote and sell equipment/medical products to doctors, nurses, and hospital staff. • Build and maintain professional relationships to strengthen product visibility and client trust. • Achieve...
- ...support, and complex clinical evaluation of the request as a whole. QUALIFICATIONS: • Active PHRN & USRN • College Graduate of BS Nursing • At least 1-3 years of acute, hospital-based clinical experience in a medical/surgical unit, emergency department, and/or ICU...
- ...developing client relationships, managing collections, and participating in public tenders. QUALIFICATIONS: 1. Fresh graduates of Nursing with relevant clinical or sales experience are welcome to apply. 2. Bachelor’s degree in Nursing or any Medical/Business-related...
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- ...and reports relative to projects of the company. Job Requirements Has a Bachelor’s Degree in any Engineering related course or Nursing. Has at least 6 months to 1 year of related experience (preferred) Must have a Construction Occupational Safety and Health Training...

