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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...
- ...SENIOR CLINICAL CODING TEAM LEADER Key Responsibilities: Lead and mentor clinical coding analysts, serving as the primary escalation... ...for coding‑based appeals, including clinical validation and medical necessity disputes Conduct regular audit and review of coded...
- ...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: - Registered Medical Technologist and with a valid PRC ID - With comprehensive understanding in the clinical laboratory - With at least two years work experience as a Medical Technologist - With good interpersonal and communication skills - Knowledgeable...
Simon
Cebu3 days ago - Qualifications: - High School or College Graduate - LTO Professional Driver's License (at least 1&2) - With driving work experience preferably with medical vehicles (ambulance & the like) - With security background - Willing to under BLS & ACLS training
Simon
Cebu3 days ago - Key Responsibilities: 1. Bachelor’s degree in any Medical/Business/Computer-related course. 2. Licensed professionals are an advantage. 3. Proficient in Microsoft Office applications. 4. With or without sales experience (medical sales background preferred). 5. Excellent...
Bravissimo Resourcing, Inc.
Cebu14 days ago - e are looking for a Professional Hospital Sales Specialist to handle hospitals and clinics for medical supplies and equipment. This is a field-based role that involves visiting clients, handling accounts, and coordinating orders within assigned areas. This job is not...
Medical and Hospital resources health care, inc.
Cebu18 days ago - ...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.
Cebua month ago - ...Incentive (not guaranteed; depends on company performance and individual performance), HMO (principal only with 110k MBL per sickness per year). BENEFITS UPON REGULARIZATION Rice Subsidy (1,500/month) Paid leaves (15VL:5SL), Clothing and Medical Allowance (6,600/yr.).
Out of the Box Practices, Inc.
Cebu11 days 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 - 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
Cebu15 days ago - ...of at least 1 year ~ With experience as a Patient Care Coordinator or in a similar capacity ~ Knowledge of medical terminology, ICD10 and CPT coding and procedures (preferably) ~ Ability to type at least 40 wpm ~ The ability to multitask consistently and...
- ...Knowledge of relevant Legislation, Regulations, Australian Standards, Codes of Practice and ability to read, understand and apply to work... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...coordination. ~ Solid understanding of Australian design standards, codes, and documentation practices. ~ Strong communication skills to... ...additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...contribute to custom modules/themes, participate in documentation and code review, and collaborate closely with onshore and offshore team... ...(with option to enroll more) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves convertible to cash on...
- ...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...
- ...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....
- ...(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...
- ...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...
- ...Abstractor work within our abstraction product to review patient medical records and create a detailed dataset for our patients and... ...reviewing medical records and accurately identifying the right medical codes. A good understanding of medical terms and coding standards is...
- ...Participate in CI/CD workflows using Docker-based environments Ensure code quality, performance, security, and reliability across supported... .... HMO/Health Insurance Work-Life Balance Free Pre-hiring Medical Laboratories Free Coffee Location: Lower Ground Floor,...
Staff Outsourcing Solutions
Cebu25 days ago - ...automotive leaders and diverse teams Competitive base salary Generous paid time off Comprehensive benefits package, including medical, dental, and vision coverage Training, mentorship, and professional development opportunities to grow your career At...
- ...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...
- ...Meet or exceed performance standards related to conversion, quality, and attendance rates Requirements Experience in handling medical data is a plus Experience in healthcare or customer service roles. Strong organizational skills with the ability to manage...
- ...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...
- ...Zealand. How you'll make an impact... You’ll be at the heart of helping US 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...
- ...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...
- ...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...
- ...today and join the growing SVC family. You wont regret it! Check out 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-...
