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- ...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...
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...- ...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...
- ...Job Title : Patient Consultation Booking Specialist (Registered Nurse OR Similar Degree, US Digital Health Co.) Location: Cebu, Philippines Job Type: Full-time, Onsite Role Summary The ideal candidate is a Registered Nurse or has a similar medical background...
- 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...
- ...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...
- Two (2) for the NCR area Two (2) for the Bicol area One (1) for the Cebu area QUALIFICATION: 1. Graduate of Nursing or any allied medical profession related four year course 2. Must know how to drive with valid Driver's license 3. Must be well-versed with Microsoft...
- ...Position Summary The Transitional Care Management (TCM) Nurse is a U.S.-licensed Registered Nurse responsible for delivering high-quality, post-discharge care coordination services to patients across multiple programs. This role focuses on ensuring safe transitions...
- ...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...
- ...collections, and participating in public tenders. DUTIES AND RESPONSIBILITIES: • Promote and sell equipment/medical products to doctors, nurses, and hospital staff. • Build and maintain professional relationships to strengthen product visibility and client trust. • Achieve...
- QUALIFICATION: 1. Graduate of Nursing or any allied medical profession related four year course 2. Must know how to drive with valid Driver's license 3. Must be well-versed with Microsoft Office applications 4. With at least one-year related sales experience 5. Strong...
