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- ...Job Title: Clerical (Medical Clerical) Job Summary: The Medical Clerical provides administrative and clerical support for healthcare... ...eligibility and insurance coverage · Assist in billing and coding support (non-clinical) · Respond to internal and external...
- ...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...
- 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 - ...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...
- ...Clinical Assessment: Conduct comprehensive clinical assessments of medical records to ensure patients are receiving appropriate care at... ...to support revenue cycle processes, including accurate coding, documentation improvement, and compliance with healthcare regulations...
- ...(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...
- ...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...
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....- ...payments and accurate customer billing support. Review expense coding and maintain proper accounting controls. Establish and... ...drive. HMO/Health Insurance Work-Life Balance Free Pre-hiring Medical Laboratories Free Coffee For those interested, respond to...
Staff Outsourcing Solutions
Cebu14 days ago - ...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...
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- ...Architecture - Design scalable application architectures. - Maintain code quality through testing, documentation, and code reviews. -... ...- Exciting perk: A chance to win a trip to the USA! - In-house medical support & PTO - No fees required - New clients onboard daily...
Cyberbacker
Cebu6 days ago - ...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...
- ...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...
- ...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...
- ...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...
- ...releases each quarter. ~ Compute distributor pricing for each product. ~ Submit CRM SKU creation requests and request SKU codes from distributors. ~ Maintain and update master price files, CMP master files, and SKU availability files. ~ Integrate SKUs...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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,...
- ...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...
