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- ...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...
- ...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...
- ...recruitment efforts specifically for roles related to Revenue Cycle Management, including but not limited to positions in billing, coding, clinical appeals, and claims management. Develop and implement effective recruiting strategies that consider unique challenges of...
- ...effective Government Benefits Administration Lactation breaks (for breastfeeding moms) Discounted optical services with our partner clinic Free lunch/dinner and unlimited coffee and ice cream daily (for onsite employees) Free Health insurance with one (1) free...
- ...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,...
- ...effective Government Benefits Administration Lactation breaks (for breastfeeding moms) Discounted optical services with our partner clinic Free lunch/dinner and unlimited coffee and ice cream daily (for on site employees) Free Health insurance with one (1) free...
- ...clients' contact details through research and keep record of them in the sales CRM • Makes cold calls, follow-ups with health-care clinics, doctors, owners, and office managers • Answers incoming calls and gives proper information • Makes follow-ups on website...
- ...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,...
- ...and time-sensitive issues in a fast-paced startup environment. You will also communicate directly with internal teams and clinical partners to ensure patient concerns are addressed accurately, safely, and efficiently. What You’ll Do • Support patients...
- ...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...
- ...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...
- ...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...
- ...patients with sleep and respiratory conditions. Their mission is to make innovative treatment solutions more accessible for physicians, clinics, and distributors through modern outreach and education. The company’s sales strategy blends direct provider engagement with B2B...
- ...concerns Support the implementation and oversight of workplace health and safety programs Maintain accurate medical records and manage clinic supplies and inventory Administer prescribed medications in accordance with a licensed physician’s instructions Look for Ms....
JK.hiring30
Cebua month ago - ...medical care to employees during work hours Assess and manage work-related injuries and illnesses and coordinate referrals to partner clinics or hospitals when necessary Administer prescribed medications and monitor employees’ health conditions Maintain accurate and...
J-K Network Services
Cebu19 days ago - ...medical care to employees during work hours Assess and manage work-related injuries and illnesses and coordinate referrals to partner clinics or hospitals when necessary Administer prescribed medications and monitor employees’ health conditions Maintain accurate and...
J-K Network Services
Cebu20 days ago - ...Assist in the implementation and monitoring of workplace health and safety programs. ✨Maintain accurate medical records and manage clinic supplies and inventory. ✨Administer medications as prescribed and directed by a licensed physician. ✨Respond promptly to medical...
J-K Network Services
Cebu22 days ago - ...USRN Bachelor of Science in Nursing with active US license in at least one US state At least 1-3 years of acute, hospital-based clinical experience in a medical/surgical unit, emergency department, and/or ICU JOB HIGHLIGHT Writing client-facing clinical reviews...
TASQ Staffing Solutions
Cebua month ago - ...Assist in the implementation and monitoring of workplace health and safety programs ✨Maintain accurate medical records and manage clinic supplies and inventory ✨Administer medications as prescribed and directed by a licensed physician ✨Respond to medical emergencies...
J-K Network Services
Cebua month ago - ...Customer service orientation. Responsibilities: Oversee daily operations of the skin care laser treatment branch. Manage and train clinical and administrative staff. Ensure compliance with health and safety regulations. Develop and implement marketing strategies to...
Dempsey Resource Management Inc.,
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 Resource Management Inc.,
Cebua month ago
