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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...
- ...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...
- Requirements: High school diploma or equivalent preferred Previous experience in janitorial or maintenance work is a plus Ability to lift up to 50 pounds and perform physical tasks Strong attention to detail and organizational skills Good communication and interpersonal...
Dempsey Inc.
Cebu20 days ago - • Responsible for general cleanliness, basic maintenance, and upkeep of the facility, grounds, and equipment, ensuring a safe, hygienic, and orderly environment • Assist on delivering goods to customers • Other duties may be assigned
Ritegroup Incorporated
Cebua month ago - ...to gather and prioritize requirements ensuring alignment with business goals. Monitors and generates reports on product KPIs and Utilize data and customer feedback to continuously improve the document management experience Manage the technology product backlog...
- ...surfaces, and storage areas. Ensures proper use and safekeeping of all equipment. CONTROLS STOCKS Practice proper use and utilization of supplies. Determines inventory of all existing stocks and ensures the quality of items. PROFITABILITY Follows cost...
- ...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,...
- ...using filters/sorts and common lookup formulas (e.g. VLOOKUP/XLOOKUP) to clean restructure and validate customer contact data. AI Utilization: Comfortable using AI tools to improve productivity streamline workflows and enhance qualitywhile maintaining critical thinking...
- ...iterative workflows. Perform design calculations and apply engineering principles to support civil and water infrastructure designs. Utilize Bentley OpenRoads for road and corridor design, including alignments, profiles, and cross sections. Develop water and utility...
- ...efficient patient care across different healthcare settings. • Monitor and assess the appropriateness of care plans and resource utilization. 3. Quality Improvement: • Implement and monitor quality improvement initiatives to enhance patient outcomes and...
- ...tools equipment or machines. Carry equipment (e.g. tools radio). Identify locate and operate all shut-off valves for equipment and all utility shut-offs for buildings. Maintain maintenance inventory and requisition parts and supplies as needed. Communicate each days...
- ...interpersonal skills. ~ Experience working on automations using tools like Make, n8n is a strong plus. ~ Experience training and utilizing A.I. in automations is a strong plus. ~ Experience working with cross-functional teams and stakeholders. ~ Excellent problem-...
- ...meet the standard set by the company. Review analyze and recommend improvement for capacity management in terms of workload and utilization. Perform analysis on SLA and implement process improvements to further improve team performance. Review of performance...
- ...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...
- ...maintenance standards and practices Deliver a programme of inspections for the property on Energy conservation Maintenance practices Utility management and Risk management procedures Deliver /oversee the pre-emptive maintenance programme to reduce the risk of sudden...
- ...Continuous Improvement process Actively limit non-billable time on assigned projects Review and approve team timesheets to optimise utilization Empower the team to deliver high quality products aiming at 0-defect delivery Follow ProQuest Scrum Framework according to...
- ...performance trends or irregularities and recommend corrective actions with defined timelines for recovery. Manage warehouse storage utilization by coordinating with planners on aging inventory ensuring optimal space usage and compliance with 5S and safety standards....
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...- ...Requisitions modules 3. Job Application 4. Candidate end-to-end on-oarding AI & Automation Responsibilities (SAP AI Joule) Utilize SAP AI Joule to automate and improve recruiting workflows and HR decision-making. Configure and activate AI-driven...
- ...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, and report on recruitment metrics. Deliver a...
- ...improvements that enhance efficiency and candidate experience. Responsibilities: Recruitment Strategy & Process Management - Utilize various recruitment channels job boards ATS etc. - Develop and implement recruitment strategies aligned with organizational goals...
- ...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,...
- ...terminologiesBroad customer service experience/stakeholder managementComprehensive knowledge and understanding of Performance Metrics Utilization Workforce Management and Service Level Agreements QBE Cultural DNA Everything we do at QBE is underpinned by our DNA (which...
- ...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...
- ...to Medical Accounts and Programs is a plus Why Join Us Fully remote role Competitive benefits: Insurance lifestyle rewards & more Work with a passionate global team making an impact in the utility industry Required Experience: Unclear Seniority...
- ...placing orders with suppliers and expediting and de-expediting deliveries Manage on-time delivery quality price and inventory utilization All About You We seek individuals who share our passion and determination. Our commitment to customer success drives us to...
- ...to drive the identification and engagement of qualified candidates across a variety of business functions. The ideal candidate will utilize sourcing strategies, market research, and outreach techniques to build strong talent pipelines aligned with workforce requirements....
- ...activities. This role combines strategic oversight with hands-on management to ensure efficient inventory control optimized space utilization and compliance with safety standards. The successful candidate will lead and develop a high-performing team foster collaboration...
- ...digital and mixed-signal circuit designs. Ensure Teradyne schematic and layout symbol/decal libraries are maintained and effectively utilized support PCB Design tools and processes. Education and Skills Required: ~ Understanding of Board Assembly principles as...
- ...Options: 6 AM-2 PM (1st shift) 9 AM-5 PM (2nd shift) Remote Work: At DentistFind we operate in a fully remote environment. We utilize a time-tracking tool that captures screenshots at random intervals to ensure accountability and productivity. Candidates must be comfortable...
