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- ...The Case Management Nurse Manager is responsible for overseeing the daily operations of the Case Management department and leading a team of Case Management Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high...
60000 - 90000 Php
...HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for...- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue...
- ...the NCLEX soon are also welcome to apply. Join Optum and help make the health system work better for everyone. The US Registered Nurse reviews medical requests to make sure services are medically necessary and aligned with clinical guidelines. This role works...
Optum
Cebu2 days ago - Certifications Basic Life Support (BLS) & First Aid Certification Advanced Cardiac Life Support (ACLS) - Recommended Occupational Health & Safety (OHS) Training (e.g., NEBOSH, OSHA, or equivalent First Responder or Emergency Medical Technician (EMT) Training...
KV HR Services
Cebua month ago - ...resources, and teaching tools that meet regulatory and organizational standards Qualifications Education: Bachelor's degree in nursing (Required) ~ Training in Pediatric and Adult Education; Certified Diabetes Care and Education Specialist; Prior Authorization...
30000 - 40000 Php
Music4Life Kids — sister company of ASG Platform Type: Full-time, Independent Contractor (Remote - Philippines) Schedule: Monday - Friday, 9:00 AM - 7:00 PM EST Start date: ASAP Compensation: ₱30,000 - ₱40,000/month + performance bonus At Music4Life Kids, we believe...ASG Platform
Cebu8 days ago- Job Description: We are looking for a highly organized and detail-oriented Project Coordinator / Account Coordinator to support project planning, execution, and monitoring across teams. The ideal candidate will help ensure projects are delivered on time, within scope, ...
Jewelry Store Marketers
Cebua month ago - ...Collaborate with payor sources to communicate clinical information and secure hospital reimbursement. Consult with physicians and nursing staff. Participate in interdisciplinary care rounds for effective communication with the care team. Use escalation pathways...
- ...Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Familiarity with medical necessity criteria, payer policies...
- ...employment at Hbiz Solutions as a Clinical Appeals Specialist for at least 1 year (internal applicants only) Bachelor’s of Science in Nursing (or equivalent degree/certification) Three (3) years work experience as a Registered Nurse in a hospital or equivalent clinical...
- A Customer Service Representative’s primary duty is to deliver great customer service. They often have the following customer service responsibilities: Providing introductory information, such as a product manual explanation, to prospective and new customers Handling...
Trinity Workforce Solutions Inc
Cebua month ago - ...identifying errors, gathering documentation, and preparing claims for reconsideration. The Audit Tech works closely with auditors, nurses, and claims specialists to minimize financial loss and improve claim acceptance rates. Key Responsibilities Review denied medical...
- ...Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Proficient in using coding software, encoders, and electronic...
- ...employee master data, system workflows, and reporting. Manage timekeeping controls across branches, including overtime, holiday pay, night differential, and attendance validation. Administer employee benefits programs such as HMO, insurance, allowances, and statutory...
- ...starter with a passion for learning and continuous improvement in web technologies. ~Flexibility to work shifting schedules, including night shifts. ~Previous chat support experience—preferred. ~Experience in the hospitality, travel, or SaaS industry—preferred. ______...
- ...thrive in a fast-paced, high-growth environment where priorities can shift. ~ You are able to work shifting schedules, including night shifts, to support our global customer base. ~ Strong preference for candidates with a degree in information technology, mathematics...
- ...You thrive in a fast-paced, high-growth environment where priorities can shift. ~You are able to work shifting schedules, including night shifts, to support our global customer base. ~Strong preference for candidates with a degree in information technology, mathematics...
- ...dynamic environment. Must possess effective organizational and time management skills; Strong leadership skills; Amenable to work on the night shift/shifting schedule; Solutions minded and results oriented ; Excellent working ethics Abilities: ~ Maintain accurate...
- ...are hiring Medical Coding Team Leads for our ongoing ramp this quarter. I. Inpatient Coding - Team Leads Must have an active nursing license with CIC or CCS certification With at least 2 years in inpatient coding, preferably in DRG With at least 1 year of...
Cotiviti Philippines Inc
Cebu1 day ago - ...Regularization Attendance Productivity Incentives Additional Hazard Pay within Qualifying Hours Stable Job with Salary Appraisals Holiday and Night Differential Premium Pay Rates HMO/Health Insurance Work-Life Balance Free Pre-hiring Medical Laboratories Free Coffee
Staff Outsourcing Solutions
Cebua month ago - ...Good communication Skills and Customer Service Oriented Willing to be trained for career growth. Willing to work at Night Shift Male and/or Female are welcome to apply Benefits Are you interested? Here's what you can expect when you join us....
- ...you and your family (because healthcare matters) ~ Free lunch and barista-crafted coffee daily (we take our caffeine seriously) ~ Night shift differential for evening schedules ~ Subsidized gym membership and sports wellness clubs including hiking and free-diving...
Smartsourcing
Cebu2 days ago - ...minimis) + Monthly Commissions! ~ Work Location: 100% On-Site, Cebu IT Park ~ Monthly Perfect Attendance Bonus of Php2,000 ~10% Night Differential ~ Complete Government Contributions and HMO and Life Insurance on day 1! ~ Fun, Friendly, and Non-toxic Environment...
Spectra360
Cebu4 days ago - ...you and your family (because healthcare matters) ~ Free lunch and barista-crafted coffee daily (we take our caffeine seriously) ~ Night shift differential for evening schedules ~ Subsidized gym membership and sports wellness clubs including hiking and free-diving...
Smartsourcing
Cebu1 day ago - ...you and your family (because healthcare matters) ~ Free lunch and barista-crafted coffee daily (we take our caffeine seriously) ~ Night shift differential for evening schedules ~ Subsidized gym membership and sports wellness clubs including hiking and free diving...
Smartsourcing
Cebu4 days ago - .... This includes tracking lates (tardiness), undertime, and absences. Wages & Adjustments: Calculating basic pay, overtime (OT), night differential, and holiday pay based on the Department of Labor and Employment (DOLE) standards. Disbursement: Preparing the final...
VenturEd Solutions
Cebu3 days ago - ...you and your family (because healthcare matters) ~ Free lunch and barista-crafted coffee daily (we take our caffeine seriously) ~ Night shift differential for evening schedules ~ Subsidized gym membership and sports wellness clubs including hiking and free-diving...
Smartsourcing
Cebu2 days ago - ...Candidates must be willing and able to work schedules during our operating hours, which may include evenings and weekends, or night shifts/US-friendly shifts. This position requires that you attend trainings as scheduled. Training hours may not coincide with your...
- ...Start Date: ASAP Work Arrangement: 100% Onsite (Cebu) Shift Schedule | Restdays : Night Shift – No fixed weekends off Roles & Responsibilities: Lead consulting assignments and deliver business value to the customers through quality initiatives....
