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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...
- ...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...
- ...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...
- ...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 - 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...
DEMPSEY RESOURCE MANAGEMENT INC.
Cebu5 days ago - ...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...
ACCPRO International
Cebu24 days ago - ...support, and complex clinical evaluation of the request as a whole. QUALIFICATIONS: • Active PHRN & USRN • College Graduate of BS Nursing • At least 1-3 years of acute, hospital-based clinical experience in a medical/surgical unit, emergency department, and/or ICU...
ACCPRO International
Cebua month ago - 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...
Dempsey Inc.
Cebu6 days ago - ...assigned areas and flexible with work assignments. Requirements & Skills: • Promote and sell medical equipment/products to doctors, nurses, and hospital staff. • Build and maintain professional relationships to strengthen product visibility and client trust. • Achieve...
Bravissimo Resourcing, Inc.
Cebua month ago - ...Ähnliche Stellen Suchen Search By Keyword MCCH - F, Search by Keyword MCCH - D, Search By Keyword - MCCH, Search By Keyword, Nursing - D Werden Sie Mitglied unserer Talent Community Werden Sie Teil unserer Talent Community und wir werden Sie kontaktieren, sobald...
