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- ...CLINICAL CODING ANALYST Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including... ...developing clear clinical and coding justifications Review medical records, payer policies, and coding guidelines to support...
- ...Key Responsibilities Review denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity, eligibility, etc.). Collect, organize, and verify supporting documentation needed for appeals or audit Prepare and submit claim...
- ...Qualifications: ~ Minimum of 1 year as a trainer in medical device or pharmaceutical complaint management in a shared services... ...medical device complaint investigations, incorporating MedDRA coding and effective complaint system management to maintain high-quality...
- ...experience in leading small or mid-sized teams in a BPO/call center/shared services environment Knowledge of complaints management in medical device industry Good oral and written communications in English Working knowledge of Microsoft Office, Excel, Power Point...
- Start Date: ASAP Work Arrangement: Hybrid (Onsite during probationary period) | Cebu Type of Support: Voice Shift: 8PM - 5AM (Weekends off) Educational Requirement: ~ College Graduate Qualifications: With at least 4 years of BPO experience...
- 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 - ...At least 3 years of experience in writing vigilance reports for Medical Devices Excellent written communication in English... ...handling safety reports to ensure accuracy and timeliness. Medical Coding & Narratives: Skillfully validate MedDRA coding and craft comprehensive...
- ...Engineering, or other education/science/technology related discipline desired Qualifications: At least 3 years experience in medical device product quality complaints management in a shared services/BPO/call center environment Knowledge of complaints management...
- ...technology related discipline desired Qualifications: At least 2 years of experience in writing vigilance reports for Medical Devices in a shared services/KPO/BPO/call center environment Excellent written communication in English Good understanding...
- 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 - ...& Cebu (CEB) Start Date: May 11 Location: Manila (MOA) & Cebu (CEB) Start Date: May 11 Qualifications: Must have a Medical Coding License (CPC or CIC) (non-negotiable) At least 3 years of Surgical Coding experience (CPT & HCPCS) With own work-from-home setup...
Metacom
Cebua month ago - ...to federal and state regulations. Ensuring compliance with the medical facility's policies and procedures and developing interdisciplinary... ...capacity ~ Knowledge of medical terminology, ICD10 and CPT coding and procedures (preferably) ~ Ability to type at least 40...
- ...(LOCs) and services, engaging with Program Managers, reviewing medical necessity records, and liaising with individuals and their families... ...to Federal and State guidelines. Uphold the Professional Code of Ethics. Other duties as assigned. QUALIFICATIONS...
- ...requirements, project deadlines, and adhere to relevant building codes and standards. This position requires strong architectural... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...Key Responsibilities Review inpatient medical records to validate principal diagnosis, secondary diagnoses (CC/MCC), procedures, and... ...downgrades o Removal of CC/MCC o Clinical validation denials o Coding validation disputes • Prepare clear, concise, and compliant...
- ...comprehensive clinical assessments to determine the patient's medical condition, healthcare needs, and treatment options. Patient... ...expertise to support revenue cycle processes, including accurate coding, documentation improvement, and compliance with healthcare regulations...
60000 - 90000 Php
...skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process.... ...services and reimbursement. # Interpret and apply ICD-10 coding in the review of medical records to support appeal submissions....- ...requirements. Utilize AI-assisted development tools, including Claude Code or similar agentic development platforms, to enhance... ...enroll additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...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...
- ...customer retention. Required: Graduate of Bachelor’s degree in a medical, business, or related field (or equivalent). Sales... ...travel within the assigned region. Customer-focused, strategic, and able to perform well under pressure. Php 33,000 Code - DRMI-00398
Dempsey Resource Management Inc
Cebua month ago - ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
