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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...
- ...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...
- ...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
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 - ...correspondence. Stay updated with the latest industry trends, codes, and regulations to ensure best practices are followed.... ...enroll additional dependents) Paid Leaves: Birthday, Vacation, Medical, and Maternity (up to 6 Vacation Leaves are convertible to cash...
- ...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...
- ...~ 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...
- ...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...
- ...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....- ...(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...
- ...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
Cebua month ago - ...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
Cebu2 days ago - ...our Healthcare BPO team. This role involves reviewing inpatient medical records, evaluating clinical documentation, preparing clinical... ...MCG and/or InterQual Guidelines Familiarity with ICD-10-CM/PCS Coding Guidelines Strong analytical, documentation review, and...
DirectPath Recruitment
Cebu3 days ago 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...
- ...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...
- ...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- ...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...
- ...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...
- ...for analyzing, auditing, and resolving claims related to professional (physician and ancillary) services to ensure accurate billing, coding, and reimbursement. This position plays a key role in supporting the revenue cycle by reviewing claim accuracy, identifying trends...
