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- ...Job Title: Clerical (Medical Clerical) Job Summary: The Medical Clerical provides administrative and clerical support for healthcare processes within a Business Process Outsourcing (BPO) environment. This role involves handling patient records, insurance documentation...
- ...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...
- 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
Cebumore than 2 months 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...
- ...directly influence what millions of users see and experience. A collaborative, flat-structure engineering culture — you are not just a coder, but a builder and a decision-maker. Opportunities to lead — mentor others, steer technical direction, and grow into broader...
- ...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...
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...- ...impacts real patients and real care. You'll play a critical role in delivering timely, accurate, and high-quality output that helps medical practices run more efficiently and ensures patients get the care they need. We're looking for individuals who take pride in...
- ...and develop individualized care plans Coordinate patient care with physicians and multidisciplinary healthcare teams Review medications, reconcile medication lists, and support medication management Provide virtual patient assessments and telehealth follow-ups...
- ...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...
- ...candidate will work directly with our company on a long-term basis . The schedule will follow U.S. Pacific Time . Healthcare or medical office experience is preferred. Work Category: Full-time, Permanent, Remote Work Schedule: Monday - Friday, 8AM - 5PM PST (...
40000 Php
...Dispatching, Staffing Coordination, or Home Care Scheduling Experience supporting US Healthcare, Home Care, Staffing, Healthcare BPO, or Medical Accounts Excellent English communication skills Strong organizational and multitasking abilities Experience using...Remote job- ...insurance verification, financial clearance, and prior authorization ~ Confirm completion of clinical documentation, lab results, medical form clearance, and medication cessation for exams requiring such ~ Coordinate with technologists and specialists,...
- ...Onboarding Manage candidates from job offer acceptance through Day 1 training. Collect and monitor pre-employment requirements and medical examination results. Coordinate onboarding schedules and requirements. Ensure a smooth and positive onboarding experience for...
- ...revenue cycle management knowledge. Key Responsibilities: 1. Clinical Assessment: Conduct comprehensive clinical assessments of medical records to ensure patients are receiving appropriate care at the correct level of service. 2. Care Coordination: Collaborate with...
- ...provide you with:** * **Guaranteed 14th month pay** * **HMO coverage for you and your qualified dependents** * **PHP 10,000 annual medical reimbursement** * **Retirement Plan** * **Leave Conversion** **At PMI, we are fostering a diverse, equitable, and inclusive workplace...
- ...provide you with:** * **Guaranteed 14th month pay** * **HMO coverage for you and your qualified dependents** * **PHP 10,000 annual medical reimbursement** * **Retirement Plan** * **Leave Conversion** At PMI, we are fostering a diverse, equitable, and inclusive workplace...
- ...provide you with:** * **Guaranteed 14th month pay** * **HMO coverage for you and your qualified dependents** * **PHP 10,000 annual medical reimbursement** * **Monthly incentives up to 20,000** * **Retirement Plan** * **Leave Conversion** At PMI, we are fostering a diverse...
- ...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...
- ...with physicians and interdisciplinary teams Perform telehealth nursing support and patient follow-ups Review and reconcile medication records Maintain accurate clinical documentation within EHR/EMR systems Support delegation, care coordination, and regulatory...
- ...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...
- ...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...
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...- ...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...
- ...Dental, and Life Insurance for you and one free dependent from day one (with option to enroll more) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves convertible to cash on your anniversary) Employee Engagement Activities: Year-End Party,...
