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- ...Position Summary The Audit Technician for Denied Medical Claims is responsible for reviewing, analyzing, and reconciling denied healthcare... ...Review denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity, eligibility,...
- ...Candidate Qualifications: - Bachelor’s degree in Nursing, Pharmacy, Biology, Business Administration, Marketing, or other medical/business-related fields - Excellent communication, presentation, and interpersonal skills - Strong negotiation and persuasive selling...
Global Quest Consulting Inc.
Cebu12 days ago - Job Title: Territorial Sales Representative Areas of Coverage: Cebu, Samar, Leyte Job Overview: We are looking for a Medical Sales Representative to promote and market Solventum Medical products across Eastern Visayas and Cebu. The role involves driving product sales...
Patient Care Corporation
Cebua month ago - SALARY RANGE: ₱22,000 + Sales Incentives WORK SCHEDULE: 8:00 AM - 5:00 PM | Flexitime WORK LOCATION: Cebu | Willing to do Field Work - Background in Sales of Medical Equipment or Pharmaceutical Products
Dempsey Resource Management Inc.
Cebumore than 2 months ago - • 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 demonstration when...
Ritegroup Incorporated
Cebumore than 2 months ago - ...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...
- ...~ Confirm completion of clinical documentation, lab results, medical form clearance, and medication cessation for exams requiring such... ...capacity ~ Knowledge of medical terminology, ICD10 and CPT coding and procedures (preferably) ~ Ability to type at least 40 wpm...
- ...exhibiting workplace behaviors that reflect Intuit Technologies’ Code of Conduct and being and productive team member. Building... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...(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...
- ...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...
- ...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....
- ...breaches of policy, process, contract, legislation, regulation, code, etc Other duties as required Completes, or contributes collaboratively... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...related administrative tasks. This includes verifying invoices, coding, reconciling employee expenses, and supporting payment runs.... ...enroll additional dependents). Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...Industry: Manufacturing Company Location: Lapu, Lapu Cebu Postal Code: 6016 Salary Offer: Php19,000-Php22,000 (Negotiable) Work... ...possible Job Responsibilities: ✨ Provide first aid and basic medical care to employees during working hours. ✨Monitor, assess, and document...
J-K Network Services
Cebu14 days ago - ...Industry: Manufacturing Company Location: Lapu, Lapu Cebu Postal Code: 6016 Salary Offer: Php19,000-Php22,000 (Negotiable) Work... ...possible Job Responsibilities: ✨ Provide first aid and basic medical care to employees during working hours ✨Monitor, assess, and document...
J-K Network Services
Cebua month ago - ...of the duties normally to be performed in the position or those occasionally assigned outside an employees normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company to each other and to our customers suppliers...
- ...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...
- ...expertsWe are inclusiveWe are fast-pacedWe are courageousWe are accountableWe are a teamAll employees are expected to adhere to QBEs Code of Ethics and Conduct and apply sound risk management practices US Only - Disclaimer To successfully perform this job the...
- ...our patients (customers) navigate their patient portal, explaining their insurance coverage, and assisting them in getting their medication delivered in a prompt manner. Role and Responsibilities: ~ Handle redundant tasks; ~ Resolving inbound patient requests...
- ...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...
- ...Contribute to the refinement of processes and procedures to improve systems and procedures Comply on provided legislations industry codes company policies and procedures Establish and maintain an efficient effective relationship between Regional Finance and GSSC Finance...
- ...of the duties normally to be performed in the position or those occasionally assigned outside an employees normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company to each other and to our customers suppliers...
- ...expertsWe are inclusiveWe are fast-pacedWe are courageousWe are accountableWe are a teamAll employees are expected to adhere to QBEs Code of Ethics and Conduct and apply sound risk management practices US Only - Travel Frequency NA US Only - Disclaimer To successfully...
- ...employees and provides excellent compensation and benefits packages which are not limited to the following. Keeping you healthy Medical Dental and Vision Coverage Life and disability insurance Flex spending and health savings accounts Virtual Health Visits...
- ...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...
- ...How you'll make an impact... You’ll be at the heart of helping Australian SMEs thrive by owning their full bookkeeping cycle—from coding multi-currency transactions to closing the month with confidence. Your attention to detail and proactive problem-solving will turn...
- ...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...
- ...Primary Responsibilities Ensure policies are followed and refer/escalate where appropriateComply on provided legislations industry codes company policies and procedures.100% Regulatory Compliance to the laws set by Regions Government Body such as State Insurance Regulated...
- ...classification activities HS and ECN Classification of direct indirect and off-line shipments Creation and maintenance of classification codes in PLM/ERP systems Engage with product teams Operations and Sales for ease of import/export activities. Create and maintain:...
