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- ...JOB SUMMARY We are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with... ...Embedded within our utilization review management platform are clinical criteria guidelines, streamlining the review and documentation...
- ...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...- ...Ready to do work that actually excites you? We’re looking for a highly organized and detail-oriented Remote Event Operations Coordinator to support our Event Managers across multiple projects. In this role, you’ll take ownership of supplier coordination, bookings, logistics...
- • Main liaison between company and third-party dealer networks. • Drives local market product sales and regional target achievements. • Manages daily sales administrations and regional field operations. • Serves as the primary point of contact for distributors. • Monitors...
Collins International Trading Corporation
Cebu14 days ago - As our Transaction Coordinator, you will ensure smooth and timely real estate transactions. This role is crucial for keeping everything organized from contract to closing. Key Responsibilities: - Drive the Process: Manage transactions from executed agreement to successful...
Cyberbacker Careers
Cebu7 days ago - ● Excellent English speaking and writing skills ● Easy builds rapport with American clients ● Must have above-average data entry skills ● Knowledge of MS Office applications ● Great Analytical skills ● Attention to detail ● Willing to work on-site at night shift schedule...
Dempsey Resource Management Inc.
Cebumore than 2 months ago - Sales Coordinator Graduate of any 4-year course, with preference to Business or Engineering courses With at least six months or 1 year experience in sales Can work under pressure and minimal supervision Dynamic, outgoing, resourceful, self-motivated, creative and a...
Trabaho PHILIPPINES
Cebua month ago - We are seeking a skilled and detail-oriented MEPF Coordinator to join our team. The successful candidate will be responsible for coordinating mechanical, electrical, plumbing, and fire protection works, ensuring alignment with project requirements, timelines, and quality...
RAGOJOS HERITAGE CONSTRUCTION CORPORATION
Cebua month ago - ...markets. - Ensures accuracy and compliance of all processed requests in accordance with company policies and internal controls. - Coordinates with cross-functional teams (e.g., Finance, Sales, and Operations) to resolve account-related issues in a timely manner. -...
J-K Network Services
Cebua month ago - • Must be willing to do fieldwork. • Must be willing to handle whole area in Cebu • Handling sales, monitoring inventory, and stocks, and coordinating with promodisers. • Willing to be under agency. • With at least one year experience in sales and marketing.
Collins International Trading Corporation
Cebua month ago - Job Overview / Summary Bai Academy is seeking an Events Coordination Support Intern to assist in the planning and execution of various events across our platforms. This role is crucial for ensuring smooth coordination between internal teams and external stakeholders...
BAI Finance Group of Companies
Cebua month ago - ...closing. Responsibilities: Oversee all aspects of buyer and seller transactions from executed purchase agreement to closing. Coordinate title/escrow, mortgage loan, and appraisal processes. Coordinate inspections, regularly update and maintain communication with clients...
Cyberbacker Careers
Cebu22 days ago - ...applicable) • Ensure compliance with 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...Remote job
- ...requirements by driving accurate complaint documentation, investigation coordination, and team performance management while maintaining excellent... ...documentation Coordinate with Quality, Regulatory, Clinical, and Operations teams for complaint investigations and...
- ...Management Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high-quality patient... ...number of years] years in a leadership role. • Strong clinical assessment and critical thinking skills. • Excellent communication...
- ...calendar and email management across multiple Outlook environments, coordination of client-specific software access (EMR, billing, and... ...knowledge of U.S. hospital administrative structures, including clinical, financial, and operational leadership hierarchies. Foundational...
- ...Summary: We are seeking a highly motivated and experienced Clinical Case Management Nurse to join our team. The Clinical Case Management... ...for patients by ensuring they receive appropriate care, coordinating with healthcare providers, and assisting in the resolution of...
- ...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,...
- ...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...
- ...documentation and information as required. Team Collaboration: Coordinate with other departments, such as finance, purchasing, and sales,... .... · 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 - ...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 - ...Traditional Marketing & Activations: Manage offline initiatives such as events, activations, and outdoor advertising (e.g., billboards); coordinate with suppliers, agencies, and partners for marketing executions. Team & Budget Management: Lead, coach, and manage a team of...
- ...excites you? Seeking an Architectural Technician with strong capability in BIM and data management to support project delivery and coordination. The role focuses on producing and managing high-quality digital models, ensuring compliance with standards, and contributing to...
- 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 - ...state registrations/dissolutions) Client Service Operations Request client documents and triage questions to the right team Coordinate onboarding steps, meetings, and follow-ups Process Improvement Create templates, checklists, and documentation Identify...
- ...in the Philippines. Reporting to the Collection Lead, you will manage manual collection tasks, investigate payment disputes, and coordinate between our Customer Success and Finance teams to ensure data accuracy and smooth collection processes. Responsibilities:...
- ...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....
