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60000 - 90000 Php
...excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing... ...analytical thinking and have a strong background in clinical practice and health information management. **** Salaries from 60,000...- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated... ...Qualifications: Registered Nurse (RN) licensure in the state of practice. Bachelor of Science in Nursing (BSN) preferred. Case...
- ...The Case Management Nurse Manager is responsible for overseeing the daily operations of the Case Management department and leading... ...education to Case Management Nurses to keep them updated on best practices and regulatory changes. • Encourage professional growth and development...
- ...standards Qualifications Education: Bachelor's degree in nursing (Required) ~ Training in Pediatric and Adult Education;... ...Knowledge, Skills, & Abilities: ~ Knowledge of nursing principles, practices, and standards of care; adult learning principles; common...
- ...validate the accuracy, completeness, and compliance of coding practices, and ensure alignment with payer requirements. Research and... ...and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field...
- ...appeals to ensure compliance with established guidelines, best practices, and internal quality metrics. Key Responsibilities:... ...1 year (internal applicants only) Bachelor’s of Science in Nursing (or equivalent degree/certification) Three (3) years work experience...
- ...guidelines Establish and maintain audit‑ready, compliant coding practices Lead root cause analysis (RCA) initiatives for coding‑... ...and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field...
- 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 - ...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...
- 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...
- ...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
Cebu2 days ago - ...allocation and pacing to maximize ROI across campaigns. Stay current with programmatic advertising trends, tools, and industry best practices to maintain a competitive advantage. Requirements ~3–5 years of experience in brand management, digital marketing, or...
- ...with 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...
- ...delivering high-quality results Strong organizational and time-management skills Tech savviness/computer literacy skills with an interest in technologies & following the trends Knowledge of industry best practices and emerging trends in business process management...
- ...queue, prioritizing based on urgency and SLAs. ~Contribute to and maintain our knowledge base with website-specific tutorials, best practices, and common solutions. ~Collaborate closely with web developers and technical teams to ensure customer satisfaction and proper...
- ...for troubleshooting mechanical issues. # Ensure compliance with company maintenance standards, safety regulations, and industry best practices. # Coordinate with engineering, operations, and maintenance teams to enhance equipment reliability and plant efficiency....
- ...to customers. Responsibilities also include measuring and coaching Service Desk Analysts on operational efficiency, call control practices, and the use of support tools such as the knowledge base and ticketing system. The Service Desk Supervisor will coordinate scheduling...
- ...performers Internship Highlights Remote work setup (Philippines-based) Structured training before live calls (guided practice/shadowing) Supportive coaching and feedback environment Opportunity for future hiring based on performance Ready to...Cebu10 days ago
- ...Required Skills & Competencies ~ Fluent in English (spoken and written) with strong communication skills. SEO best practices knowledge and experience with Google Analytics, Search Console, and SEO tools. Strong writing skills for SEO content creation....Remote job
- ...updating, or adjusting customer accounts by documenting personal information. ~ Collaborate with colleagues and management on best practices and insights about any aspect of the job or its duties. ~ Document and track customer interactions, issues, and resolutions in...
- ...to 4:00 PM (PH Time) Employment Type: Full-time Ready to do work that actually excites you? We are a boutique accounting practice based in Australia seeking an experienced Senior Accountant to support our growing client base. This is a long ‑ term role offering...
- ...We are looking for a Senior Tax Accountant to manage tax compliance, financial reporting, and accounting functions within a public practice environment. The role is responsible for overseeing tax and BAS preparation, ensuring accuracy in financial reports, and...
- ...time Ready to take your career to the next level? The Legal Administrative Assistant plays a key role in supporting the Practice Manager and legal supervisors with care, professionalism, and compassion. You will assist in the preparation and progress of Family...
- ...compliance and timely submissions. Stay updated on Australian tax laws and accounting regulations to ensure adherence to best practices. Contribute to team management tasks such as work-paper template maintenance, checklist review, project progress monitoring, etc...
- ...employment, as well as internal policies and procedures. Provide guidance and support to overseas recruitment efforts, ensuring best practices in global talent acquisition are followed. Utilize applicant tracking systems to monitor applications, maintain candidate data,...
- ...accuracy. Support configuration and maintenance of claim processing rules in billing systems (e.g., Epic PB, Cerner, or other practice management systems). Prepare reports and dashboards tracking key performance metrics, such as clean claim rates, denial rates,...
- ...procedures, and general administrative/ad hoc tasks Deliver operating efficiencies relevant to accounting software systems and our practice-managed software XPM. Experience using Excel, XPM, Xero, MYOB and QuickBooks. Assist with the preparation of Business...
- ...necessary materials and equipment for instrumentation tasks Train and mentor junior staff and subcontractors on instrumentation practices and safety regulations Ensure that all work is performed in accordance with applicable regulations and company policies...
- ...when needed. Assist in comparing performance insights between platforms for better strategic planning. Compliance & Best Practices Follow platform advertising policies and ensure all ads meet compliance standards. Stay updated on TikTok trends,...
