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- ...Key Responsibilities Review denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity... ...payor reconsideration. Collaborate with clinical staff, coders, and billing teams to resolve discrepancies and correct claim data...
- ...Cebu (CEB) Start Date: May 11 Qualifications: Must have a Medical Coding License (CPC or CIC) (non-negotiable) At least 3 years... ...Permanent work-from-home setup Non-voice account (less stress environment) Great opportunity for experienced medical coders
Metacom
Cebua month ago - Job Responsibilities: • Negotiation and relationship building with amid and high level managers of hospitals • Evaluation of market trends to drive and maintain sales opportunities • Participation in government biddings • Facilitation/Conduct of product promotion and...
Ritegroup Incorporated
Cebua month ago - Qualifications Medical Allied graduates with no BPO Experiencee Average communications skills Willing to work on-site Amendable to any given schedule A team player Can work ASAP Job Description Handle mileage plus reservations and queries. Able to make a service...
Trinity Workforce
Cebumore than 2 months ago - ...by developing clear clinical and coding justifications Review medical records, payer policies, and coding guidelines to support appeal... .... Qualifications: Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Inpatient Coder...
- ...and ensuring compliance with payer contracts, coding guidelines, and regulatory standards. The analyst collaborates with providers, coders, billing teams, and payers to optimize claim performance and minimize denials or payment delays. Key Responsibilities Review...
- ...for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End Party...
- ...Management ~ Coordinate pre-employment requirements for newly hired employees. ~ Schedule and monitor completion of pre-employment medical examinations and other onboarding requirements. ~ Provide timely updates and guidance to candidates regarding onboarding...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
- ...for you and one free dependent from day one (with the option to enroll additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary). Employee Engagement Activities: Year-End Party...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
- ...quickly to changes in products, processes, and workflow. ~ Maintain brand-aligned communication at all times. ~ Never make medical claims under any circumstances. ~ Juggle multiple tools and tasks without losing accuracy. Qualifications : ~ Preferred...
- ...concurrent, and retrospective reviews for authorization of Levels of Care (LOCs) and services, engaging with Program Managers, reviewing medical necessity records, and liaising with individuals and their families when necessary. Additionally, the department handles billing...
- ...supporting software applications, hardware devices, or healthcare technology solutions is an advantage. ~ Familiarity with Electronic Medical Records (EMR/EHR) systems and healthcare software integrations is preferred. ~ Experience using remote support tools such as...
- ...inquiries for patient information and disperse this information according to federal and state regulations. Ensuring compliance with the medical facility's policies and procedures and developing interdisciplinary care plans for patients is part of our main responsibilities....
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
7 $ per hour
...Development Assistant to support one of our U.S.-based clients — a fast-growing pharmaceutical company in Texas specializing in medication management solutions. As our Marketing and Business Development Assistant , you’ll play an important role in supporting...- ...for you and one free dependent from day one (with the option to enroll additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary). Employee Engagement Activities: Year-End Party...
- ...ll enable the future — starting with yours.Top reasons to work with TDCX * Attractive remuneration and great perks * Comprehensive medical, insurance, and social security coverage * World-class workspaces * Engaging activities and recognition programs * Strong learning...
- ...for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End Party...
- ...for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End Party...
- ...and join the growing SVC family. You wont regret it! Checkout our Facebook page: Enjoy the following benefits: Medical/Dental coverage (HMO) after 1 month* + FREE HMO coverage for 1 dependent after 6 months Life insurance program Free weekly in...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
- ...Insurance for you and one free dependent from day one (with the option to enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash on your anniversary) Employee Engagement Activities: Year-End...
60000 - 90000 Php
...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 position is ideal for those who excel in analytical thinking...- ...Key Responsibilities Review inpatient medical records to validate principal diagnosis, secondary 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...
- ...Conduct audits of clinical appeals to ensure the use of correct appeal letter structure, adherence to the provided guidance/ medical records documentation, and consistency with payor policies and guidelines. Utilize all available tools, including Atlas, Epic, Cleopatra...
- ...knowledge. Key Responsibilities: Clinical Assessment: Conduct comprehensive clinical assessments to determine the patient's medical condition, healthcare needs, and treatment options. Patient Advocacy: Serve as an advocate for patients by ensuring they receive...
