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- ...CLINICAL CODING ANALYST Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including... ...and coding justifications Review medical records, payer policies, and coding guidelines to support appeal arguments Conduct...
- Company Description We're Nagarro. We are a digital product engineering company that is scaling in a big way! We build products, services, and experiences that inspire, excite, and delight. We work at scale — across all devices and digital mediums, and our people...
- ...Position Overview The Real-Time Analyst is responsible for maintaining optimal service levels across all Operations accounts through... ...proper document on major incidents. ~ Keeps abreast of new policies and procedures addressing day-to-day issues of specific...
- ...Job Description The Claims Analyst – Professional Billing (PB) is responsible for analyzing, auditing, and resolving claims related... ...billing claims for accuracy, completeness, and compliance with payer policies and coding standards (CPT, HCPCS, ICD-10). Identify,...
- Company Description We're Nagarro. We are a digital product engineering company that is scaling in a big way! We build products, services, and experiences that inspire, excite, and delight. We work at scale — across all devices and digital mediums, and our people...
- ...This is a remote position. We are seeking a highly strategic, tech-forward Business Analyst to serve as the connective tissue between stakeholders, operations, and IT execution. This role is responsible for identifying business bottlenecks, architecting scalable system...
- About The Dream Opportunity: Dream Opportunity is not just a job, it is a purpose. We are a global nonprofit that teaches underprivileged and low-income students how to obtain corporate and high-income careers. We partner with large companies where students learn about...
- ...Overview We are seeking a Computer Operations Analyst to support and maintain enterprise data center and cloud environments. This... ...backup configurations, including adding or removing systems from policies Participate in disaster recovery (DR) planning, testing, and...
- Start Date: ASAP Work Arrangement: Hybrid (Onsite during probationary period) | Cebu Type of Support: Voice Shift: 8PM - 5AM (Weekends off) Educational Requirement: ~ Bachelor's degree in Nursing, Biology/Microbiology, Electromedical Engineering...
- ...Employment Type: Full-time Ready to do work that actually excites you? We are looking for a Management Accountant / Business Analyst to own financial reporting, management accounting, and data analysis across a multi-entity, multi-currency global manufacturing...
- ...for the day-to-day operations of the Service Desk, specifically the people management of Service Desk Analysts, floor management, and enforcement of departmental policies. This individual provides the day-to-day leadership of the Service Desk operations and acts as an...
870 - 1350 Php per hour
...come with performance based engagements. ~ Expert in Meta Ads Manager, Meta Business Suite, Instagram, Advantage+ ~ Strong analyst across Shopify Analytics, GA4, Triple Whale, Motion. You can spot the signal in noisy data. ~ Working knowledge of Klaviyo, Google...- ...capstone projects, and production-ready applications. Ensure solutions adhere to established engineering standards, governance policies, and ALM practices. Integrate applications with relational data sources such as SQL and Dataverse. Develop and optimize workflows...
- ...Monitoring: Oversee the sales conduct of team members to ensure all transactions and customer applications strictly comply with company policies and risk control standards. Reporting: Prepare and submit daily/weekly sales reports summarizing team performance, market...
- ...via phone, email, or chat in Mandarin and English Provide accurate information about products, services, billing, and company policies Resolve customer issues efficiently while maintaining a positive customer experience Document all interactions accurately in...
- ...interactions via phone, email, or chat in both Spanish and English Provide accurate information regarding products, services, policies, and procedures Resolve customer complaints and concerns in a timely and professional manner Document customer interactions...
- ...inquiries related to non-complex markets. - Ensures accuracy and compliance of all processed requests in accordance with company policies and internal controls. - Coordinates with cross-functional teams (e.g., Finance, Sales, and Operations) to resolve account-related...
J-K Network Services
Cebu13 days ago - ...coding, or auditing highly desirable.Knowledge of ICD-10, CPT, and HCPCS coding, as well as medical terminology.Familiarity with payor policies, EOBs, and claim adjudication processes. Strong organizational skills with attention to detail and accuracy.Ability to work...
- ...create and maintain operational, programmatic and workplace environments that are safe, inclusive and healthy for children, at-risk adults in communities where we operate, and our staff and volunteers by referencing and acknowledging the role of other HFHI policies....
- ...escalate complex concerns when needed. Primary Responsibilities: ~ Answer customer questions clearly and accurately. ~ Follow policies and SOPs precisely. ~ Document interactions thoroughly. ~ Navigate multiple tools. ~ Adapt quickly to changes in...
- ...tenant performance to optime the mall's tenant mix. Negotiate and arrange lease agreements and renewals in compliance with company policies. Collaborate with the marketing and operations team to enhance tenant engagement and overall mall experience. Maintain...
- ...their airline accounts. Position: Mandarin Airline Support Analyst Company Industry: IT-BPO Company Work Location: Cebu Work Schedule... ...concerns such as baggage inquiries, flight updates, and travel policies. - Provide timely and professional customer support while...
J-K Network Services
Cebu9 days ago 1000 Php
...a Mandarin Bilingual. Position: Mandarin Digital Marketing Analyst Company Industry: Online Learning Center Work Location: Cebu... ...Government Mandated Benefits - Paid Leave: According to company policy - Learning Support: Discount for internal English classes -...J-K Network Services
Cebu15 days ago- ...executive leadership to shape long-term strategy and expansion initiatives Mentor and develop senior leaders to build a strong, high-performing operations organization Ensure adherence to company policies, governance standards, and industry best practices...
- ...of correct appeal letter structure, adherence to the provided guidance/ medical records documentation, and consistency with payor policies and guidelines. Utilize all available tools, including Atlas, Epic, Cleopatra, MCG, and email correspondence to ensure the data...
60000 - 90000 Php
...requirements, and implications of clinical documentation and coding standards. # Stay abreast of changes in healthcare regulations, payer policies, and clinical criteria guiding medical necessity. Required Qualifications: Active Registered Nurse (RN) license in the...- ...improvement, and areas of potential cost savings for clients. Compliance: Stay up-to-date with healthcare regulations, guidelines, and policies to ensure all patient care and revenue cycle processes are in compliance with industry standards. Qualifications: Registered...
- ...Service Verification Forms and Time sheets to ensure precise payroll processing. Participate in state and local audits. Adhere to policies, procedures, regulations, and standards governing the agency. Maintain strict confidentiality according to Federal and State...
- ...vendor inquiries regarding payment status, invoice discrepancies, and account balances. Support compliance with internal financial policies, procedures, and audit requirements. Requirements What You Bring We’re looking for someone who: ~ Bachelor’s degree in...
- ...Drive continuous improvement initiatives within the team Quality, Compliance & Coordination Ensure compliance with company policies, procedures, and quality standards Support quality monitoring and coaching initiatives Promote accuracy, efficiency, and customer...
