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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...
- ...transporting equipment, furniture, or supplies Qualification Male, not older than 30 years old At least high school graduate or any related course With janitorial or utility experience is an advantage Physically fit and hardworking Can drive a vehicle (advantage)
Simon
Cebu6 days ago - ...and maintains labor law compliance through coordination with government agencies. HR Budget & Compliance: Monitors HR budget utilization in line with KRAs and upholds adherence to company policies, safety regulations, and legal requirements. Qualifications:...
- ...financial health of our clients by offering customized, data-driven, and tech-enabled recovery of denied claims and aged receivables. We utilize our deep expertise in revenue cycle to help transform our client’s revenue cycle processes to achieve sustained reductions in...
- ...Develops and leads formative action-research. ~Leads monitoring, evaluation, accountability and learning (MEAL) for the portfolio. Utilizes the Donor Committee for Enterprise Development (DCED) Standards for Results Measurement. ~Liaises with potential partners such...
- ...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...
- ...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...
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...- ...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...
- ...Follow up with subcontractors and external parties to obtain updated documentation and ensure compliance requirements are met Utilize Microsoft 365 and SharePoint to manage documentation, collaboration, and record storage Requirements What You Bring We’re looking...
- ...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...
- ...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,...
- ...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...
- ...payment runs and customer statements Assist in general administrative duties such as filing, reporting, and document management Utilize business management software (such as Jim2) to accurately input and manage financial and administrative data Liaise with...
- ...activities. Administer and maintain CRM systems, including data entry, record updates, workflow management, and system organization. Utilize HubSpot to manage contacts, deals, and sales activities while ensuring data accuracy and completeness. Generate sales reports,...
- ...of onshore mechanical equipment by developing and implementing preventive and predictive maintenance programs. The role involves utilizing CMMS systems to plan, track, and optimize maintenance activities to ensure safe, reliable, and efficient plant operations. # Develop...
- ...meetings or reviews as required. Tooling & Systems Use service management tools such as AutoTask to manage and track tickets. Utilize remote support tools and monitoring platforms to diagnose and resolve issues Ensure accurate and consistent ticket documentation...
- ...graphics, short-form animations, and basic video editing Collaborate with the marketing team on creative concepts and campaigns Utilize AI tools to enhance design workflows and creative output Qualifications / Requirements: Open to students and entry-level applicants...
BAI Finance Group of Companies
Cebu5 days ago - ...calling, emailing, and networking to generate high-quality opportunities. Manage the sales funnel, from lead qualification to closing, utilizing CRM tools to track performance metrics. Provide administrative support to sales teams, including scheduling meetings, managing...
J-K Network Services
Cebu22 days ago - ...improvements. 5. Reporting Prepare daily, weekly, and monthly reports for management. Provide insights to improve workforce utilization. 6. Coordination Work closely with HR, operations, and team leaders. Communicate staffing needs and schedule changes. 7...
Lexie Staffing & Business Consulting
Cebu21 days ago - ...crucial for ensuring smooth coordination between internal teams and external stakeholders, specifically in Australia (Au). You will utilize your excellent communication skills to prepare materials and act as a key liaison for suppliers and exhibitors. Duties &...
BAI Finance Group of Companies
Cebu16 days ago - ...Ensure compliance with labor laws and coordinate with government agencies. HR Financials & Compliance Monitor HR budget utilization aligned with business objectives. Ensure compliance with company policies, safety standards, and regulatory requirements....
- ...application features. - Deploy and manage applications on cloud platforms such as AWS or other public cloud services (preferred). - Utilize Node.js and frameworks like Express.js to create efficient and reliable server-side solutions. - Implement asynchronous...
ACCPRO INTERNATIONAL
Cebua month ago - ...audit performance and identify opportunities for improvement. - Achieve customer metric targets and service level agreements, and utilize KPI. Implement and maintain standard operating procedures to ensure compliance and uniformity. - Recognize non-standard processes...
J-K Network Services
Cebu17 days ago - ...methods, and accompaniments. Operate POS systems to post orders and process payments efficiently. Follow correct service sequences and utilize appropriate upselling techniques to maximize revenue. Attend pre- and post-shift meetings and assist the Team Leader and Manager...
MEZZO HOTEL
Cebua month ago - ...and concepts Apply current trends, storytelling techniques, and viral formats Organize and manage video assets and project files Utilize AI tools for captions, editing workflows, and content enhancement Qualifications / Requirements: Open to students and entry-...
BAI Finance Group of Companies
Cebu10 days ago - ...to support strategic, data-driven decision-making • Regularly audit and eliminate duplicate records to maintain data integrity • Utilize multiple data sources to verify, correct, and update incomplete or inaccurate information • Develop and maintain quality control (...
CYBERBACKER
Cebua month ago - ...accordance to FIFO inventory method Prepare orders and move lubes products as indicated in the Picking List to Staging Area Utilize warehouse equipment to load and unload products as well as move. Lift or stack as needed Maintain accurate records of all incoming...
- ...packaging materials, and spare parts. Supervise warehouse activities to ensure efficient and continuous workflow. Coordinate with Utilities, Facilities, and service providers to maintain warehouse infrastructure, including cold and dry storage and material handling...
