Get new jobs by email
- ...CLINICAL CODING ANALYST Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and related modifiers. Identify coding discrepancies, documentation...
- 募集要項 業務内容 • 主に日本人患者様の対応 • クリニック受付業務 • 診察時の通訳（研修アリ） • その他、患者様サポートとクリニックの運営に必要な業務 ※入社時に研修を行いますので医療業界未経験者も可！ 求める人材 • 3年以上の社会人経験 • 英語で日常会話が問題なく行える方 • Word、Excel、PowerPointなどを使った基本的な操作ができる方 • 学歴不問 ★20～40歳までの女性活躍中★ 給与 ₱60,000 - ₱70,000 ...
- ...Job Description: We are seeking a detail-oriented, knowledgeable, and proactive Clinical Quality Auditor to help ensure the integrity and quality of our clinical appeals. As an internal team member, you'll have the advantage of already being familiar with our processes...
60000 - 90000 Php
...dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This...- ...regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management platform are clinical criteria guidelines, streamlining the review and documentation process. The Utilization/Risk Management department conducts...
- ...global pharmacovigilance regulations (FDA, EMA, ICH guidelines) • Coordinate case follow-ups with QA, Regulatory, Medical, and Clinical teams • Maintain data integrity, quality standards, and audit readiness • Support continuous improvement of safety reporting...Remote job
- ...appeals or audit Prepare and submit claim audit packets for internal review or external payor reconsideration. Collaborate with clinical staff, coders, and billing teams to resolve discrepancies and correct claim data. Maintain accurate tracking of denied claims,...
- ...regulations Review complaint records for completeness, accuracy, and proper documentation Coordinate with Quality, Regulatory, Clinical, and Operations teams for complaint investigations and resolution Track team performance metrics, service levels, and...
- ...experience in case management or care coordination, with at least [insert number of years] years in a leadership role. • Strong clinical assessment and critical thinking skills. • Excellent communication and interpersonal skills. • Knowledge of healthcare regulations...
- ...revenue, reduce operational costs, and improve patient care. Job Summary: We are seeking a highly motivated and experienced Clinical Case Management Nurse to join our team. The Clinical Case Management Nurse will play a crucial role in supporting our clients in the...
- ...diagnoses (CC/MCC), procedures, and DRG assignment. • Analyze payer denials involving: o DRG downgrades o Removal of CC/MCC o Clinical validation denials o Coding validation disputes • Prepare clear, concise, and compliant DRG appeal letters supported by: o...
- ...tools in multi-tenant environments. Knowledge ~ Working knowledge of U.S. hospital administrative structures, including clinical, financial, and operational leadership hierarchies. Foundational understanding of the U.S. insurance reimbursement system,...
- ...graduate of any 4-year course Preferably with at least 1 year of related experience." Working schedule 6 days a week Onsite Clinic Hours: 10:00AM-5:00/7:00PM 1 Day Off (Weekday) NOTE: For training in Manila for 4-6 months. Flight, accommodation, allowance...
DEMPSEY
Cebua month ago - ...Candidate must be a Graduate of BSBA Financial Management or any finance related course. · Inventory and cash handling experience is an advantage. · Fresh Graduates are encouraged to apply." "6 days a week Onsite Clinic Hours: 10:00AM-5:00/7:00PM 1 Day Off (Weekday)"
DEMPSEY
Cebua month ago - Requirements: Bachelor’s/College degree required. At least 2-3 years of experience in a clinic, healthcare setting, hospitality, or customer relations role. Strong communication skills and a passion for delivering excellent patient care. Organized, detail-oriented,...
Dempsey Inc.
Cebua month ago - ...RN) license preferred, but not required. Open to candidates without a license who have hands-on experience through hospital or clinical internships. Strong communication skills, both spoken and written. Strong listening, problem-solving, and follow-up skills....
- Job Description: The Patient Care Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner. Requirements: · Candidate must be a graduateof any 4-year...
DEMPSEY
Cebua month ago
