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- ...The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and...
- ...Job Summary : We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective...
- ...JOB SUMMARY We are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management...
- ...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...
- • Preferred Age: 30 to 40 years old • Proven experience as a Finishing Carpenter or Multi Skilled Construction Worker • Extensive hands-on onsite experience in finishing carpentry and general construction work • Strong knowledge of construction methods, carpentry...
Ikon Solutions Asia
Cebua month ago - ...experience as Japanese Helpdesk or Customer Service Filipino who can speak, read, and write Japanese Can speak conversational English because co-workers are Filipino Knowledge of MS Office applications. Willing to undergo training and orientation Willing to work in Cebu...
- ...FastAPI) Design, build, and maintain robust, scalable RESTful APIs utilizing FastAPI and Python. Architect and optimize relational database... ...best practices. Manage background tasks, asynchronous workers, and real-time features using Redis and Webhooks. 3. Product Collaboration...
Cyberbacker
Cebu18 days ago - ...Japanese and English Japanese proficiency at JLPT N1 or JLPT N2, no need for certification. Can speak English because majority of co workers are Filipino Degree holder of any course This is more on transaction type of job where invoices are being checked NO JLPT...
J-K Network Services
Cebu10 days ago - ...implement autonomous agent systems using frameworks using Hermes Agent. • Build multi-agent collaboration patterns (e.g., orchestrator-workers, debate, hierarchical swarms). • Implement agentic memory systems (short-term, long-term, and episodic memory) using vector...
PST.AG
Cebua month ago - ...depreciation, and rollforward schedules. -Record payroll entries and maintain related accruals for compensation, benefits, insurance, and workers' compensation. -Support internal and external audit requests by preparing schedules and responding to inquiries. -Identify...
Dempsey Resource Management , Inc.
Cebua month ago - ...company in negotiations with suppliers, vendors, and clients. ✨Over-all control in Management ✨Over-all control with Assistant Manager, Supervisor, Assistant Supervisors and workers Recruitment Process: Face to Face ✨Initial interview ✨Final interview ✨JOB OFFER
J-K Network Services
Cebumore than 2 months ago - ...changes, and footbaths. -Monitor pest control programs (rodents, insects, wild birds). Staff Training and Awareness -Train farm workers on biosecurity procedures and disease prevention. -Conduct regular biosecurity drills and refresher training. -Promote a strong...
TigerUX
Cebumore than 2 months ago - ...CPA’s established quality standards and expectations. 8. Innovation in Remote Work Efficiency Use of Remote Tools: Effective utilization of remote collaboration tools (e.g. Teams.) to enhance team communication and project coordination. Self-Management:...
- ...the job offer JOB REQUIREMENTS: Filipino who can speak, read, and write Japanese Can speak conversational English because co-workers are Filipino Degree Holder of any course Open to JLPT N1, N2, N3 Passer Having experience as Japanese Helpdesk or Customer Service...
J-K Network Services
Cebu10 days ago - ...of offshore mechanical equipment by developing and implementing preventive and predictive maintenance programs. The role involves utilizing CMMS systems to plan, monitor, and optimize maintenance activities, ensuring safe and efficient offshore operations. Key Responsibilities...
- ...Ambassador Program Develop and manage a structured affiliate and ambassador program Build partnerships with hunters, skiers, outdoor workers, and lifestyle creators aligned with the brand PR & Media Relations Build and maintain relationships with outdoor, sporting,...
Staff Outsourcing Solutions
Cebua month ago - ...request are being handled in a timely manner ~ Provide cutting edge service in a friendly, confident and knowledgeable manner. ~ Utilize internal and client-based tools and applications to support customer needs Qualifications: ~ Must be able to work full...
- ...critical services, which include but not limited to updating account information, providing plan information, resolving issues with utilization of the plan. Qualified candidates will have a strong desire to help people with strong customer care skills, attention to detail,...
- ...received from customer service, correspondence received from the customer, and/or review of the recorded customer interaction ~ Utilize knowledge of program processes and systems to research assigned grievance cases in their entirety to identify the cause of received...
- ...managers, and clients to accomplish projects. Proactively contributes to the team by providing assistance when necessary. Utilize the tools provided by MAG to ensure the quality of work. Must have sign off from Creative leadership for competency Be...
- ...for future reference. Continuously monitor market pricing, material costs, and industry trends to improve estimating accuracy. Utilize estimating software and digital tools to streamline quotation preparation and maintain efficiency. Requirements What You...
- ...related modifiers. Identify coding discrepancies, documentation deficiencies, and other factors contributing to claims denials, utilizing a thorough understanding of coding guidelines, industry standards, and regulatory requirements. Collaborate with coding teams,...
60000 - 90000 Php
...000 to 90,000 PhP per month depending on experience****** Key Responsibilities: # Review and analyze clinical documentation, utilization records, and insurance denial rationales to formulate well-constructed appeal cases. # Engage in the appeals process for denied...- ...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 in our completed appeals is...
- ...operational teams, including coordination across time zones and cultures. ~ Prior exposure to U.S. hospital operations, revenue cycle, utilization management, case management, or financial services environments required. ~ Experience managing multiple client environments,...
- ...touchpoints. Digital Marketing Leadership: Oversee digital initiatives, including Facebook Ads, TikTok campaigns, and content execution. Utilize digital analytics and reporting tools to measure performance and optimize campaigns. Traditional Marketing & Activations:...
- ...deadlines Excellent creative and problem-solving skills An understanding of advertising concepts and strategies to create, utilize, and measure campaigns on social media A dual-monitor setup is required (at least 8GB of RAM) Must have at least 25 MBPS...
- ...other regulatory agencies. Perform reconciliations of accounts, monitor cash flow, and ensure timely posting of transactions. Support audits, budgeting, and financial analysis to guide management decisions. Utilize accounting software for reporting and data management.
J-K Network Services
Cebu9 days ago - COMPANY PROFILE: Japanese Construction Company specialized for infrastructure and development Company Industry: Construction Company Work Location: Danao, Cebu City Positions: ~Plumber ~Ductman ~Pipe fitter RECRUITMENT PROCESS: (Onsite, 1 Day Process)
JK Network Services
Danao City, Cebumore than 2 months ago - ...with cross-functional teams including Marketing, Research, IT, Finance to ensure integrated and efficient leasing operations. # Utilize data-driven insights to forecast leasing performance, identify growth opportunities, and recommend strategic initiatives to accelerate...
