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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.
Cebua month ago - ...systemd and troubleshoot failed daemons/services, Perform storage administration including filesystems, mounts, LVM, swap, and disk utilization cleanup, Develop and maintain basic automation using Bash. Network and Security: Includes but not limited to Validating...Remote job
- ...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...
- ...technology teams to create the necessary infrastructure that supports both traditional coding and low-code automation capabilities. Utilizes intelligent automation solutions and AI solutions which allows the team to automate functions and deliver benefits including...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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...
- ...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,...
- ...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...
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...- ...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,...
- ...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...
- ...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...
- ...requests for information, and compliance matters. Monitor changes in Australian tax legislation and assess their impact on clients. Utilize Xero for bookkeeping review, financial reporting, and tax compliance tasks. Assist in tax planning activities and provide...
- ...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...
- ...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 - ...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 - ...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
Cebu7 days ago - ...processes ● Troubleshoot and resolve high-level workstation, server, and network issues following standard operating procedures ● Utilize software tools and vendor-specific utilities to expedite incident resolution ● Resolution of incidents related to, but not...
Tahche
Cebua month ago 8.7 $ per hour
...preferred. Job KPIs: First-touch closed: Each ticket that is completed with only one time entry contributes to this number Utilization: The percentage of time that you are on the clock and billing time to client tickets CSAT: Scores filled out by clients using the...Intelligent Technical Solutions (ITS)
Cebumore than 2 months ago32000 - 50000 Php
...(4-year university graduate) • Must have a stable remote work environment (High-speed internet, PC, etc.) Required Skills • Proficiency in business tools such as Google Drive, Google Docs, and Google Sheets • Ability to utilize Generative AI, including LLM modelsToday Hello Education
Cebua month ago- ...Responsibilities • Achieve and exceed assigned sales targets by identifying new projects and partnerships in the manufacturing, power, and utility sectors. • Build and maintain strong relationships with key decision-makers, including plant managers, engineers, and procurement...
WHR Global Consulting
Cebua month ago - ...appointments are successfully set. • Responds promptly to inbound calls, text messages, and emails from prospective clients. • Utilizes provided scripts to clearly communicate value propositions and confidently handle objections. • Updates and maintains accurate records...
CYBERBACKER
Cebua month 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
Cebua month ago - ...standardize, and organize product content, including titles, descriptions, specifications, images, pricing, and packaging details. Utilize Excel and other spreadsheet tools to structure, validate, and prepare data for seamless import and publication. Create product...
Staff Outsourcing Solutions
Cebua month ago
