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  • Role Overview: We are looking for a detail-oriented Utilization Review Coordinator/Medical Management Resolution Specialist to join our team. The ideal candidate will have experience in medical coding within the US healthcare system, whether certified or non-certified... 

    Visaya KPO

    Pasig
    a month ago
  • Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization... 

    Visaya KPO

    Pasig
    a month ago
  •  ...s your chance to grow your career with the largest and leading independent fuel company in the country - join us as our next Plant Utility Staff - Aringay, La Union!  What is this role about? The role will provide general support in plant operations, including housekeeping... 

    SEAOIL Philippines, Inc.

    Pasig
    4 days ago
  • 11 $ per hour

     ...This is a remote position. PERMANENT DAYSHIFT / WFH Job Description: REMOTE Estimator...  ...have implications for the company. Utilize current systems and processes to provide...  ...allowances. Prepare for a final review of the tender with the internal team prior... 

    Scale-X Solutions

    Pasig
    9 days ago
  • 8 - 9 $ per hour

     ...This is a remote position. PERMANENT DAYSHIFT, WFH REMOTE ACCOUNTING ASSISTANT Company type : electrical contracting business...  ...assistants include logging transactions, recording and reviewing journal entries, creating invoices, and crafting spreadsheets.... 

    Scale-X Solutions

    Pasig
    9 days ago
  • 10 - 11 $ per hour

     ...This is a remote position. This job is Permanent Remote & Dayshift. AU Remote...  ...implications for the company. ● Utilize current systems and processes (Bluebeam and...  ...allowances. ● Prepare for a final review of the tender with the National... 

    Scale-X Solutions

    Pasig
    9 days ago
  • 7.5 $ per hour

     ...This is a remote position. JOB DESCRIPTION: PERMANENT - REMOTE DAYSHIFT Part time Administrative Assistant - NDIS Industry : Healthcare Hours : to start at 25 hours - will extend to 30-40hours VA Rate : $7.5 per hour START ASAP... 

    Scale-X Solutions

    Pasig
    17 days ago
  • 11 - 12 $ per hour

     ...This is a remote position. Remote Mechanical Estimator - with Simpro Experience (Dayshift, WFH) Company : AU HVAC...  ...project workflows. Project Support ● Draft and review project documentation and mechanical specifications. ●... 

    Scale-X Solutions

    Pasig
    5 days ago
  •  ...,000 PHP HMO Paid Time Offs Professional development opportunities Performance bonuses Fixed Weekends Off Work Timings: ~ Mondays to Fridays ~6:00 PM to 4:00 AM Philippine Time ~ Remote/Hybrid Set Up (at least 1-2x/week in the office only)... 
    Remote job

    Neolytix

    Pasig
    18 days ago
  • 7 - 8 $ per hour

     ...This is a remote position. PERMANENT DAYSHIFT REMOTE JOB DESCRIPTION: Executive Assistant VA RATE : $ 7-8 AUD per hour We are seeking a highly skilled and experienced Executive Assistant to join our team. The ideal candidate will provide high-level... 

    Scale-X Solutions

    Pasig
    9 days ago
  •  ...US Healthcare Medical Biller for Athena - WFH/Remote Job Location: Remote (Philippines-based) Employment Type: Full-time, Mid-...  ...obtaining accurate claim statuses from various insurance payers. Reviewing patient bills and reading superbills for precise charge entries... 
    Remote job

    Neolytix

    Pasig
    18 days ago
  • Job description: As a Medical Coder, you will be responsible for reviewing medical records and assigning appropriate diagnostic and procedural codes for patient services. Your role ensures compliance with coding guidelines and regulations. Attention to detail is crucial... 

    Coronis Health Philippines

    Pasig
    a month ago
  • 100% Work From Home | Available for FULL TIME | PART TIME RESPONSIBILITIES: Transcription Preparing paperwork Scheduling of consultation with clients Preparing and emailing weekly reports Updating virtual files Build ongoing task list Oversee administrative ...

    Cyberbacker Careers

    Pasig
    4 days ago
  •  ...This is a remote position. PERMANENT DAYSHIFT, WFH Remote HR & Payroll Specialist (Xero) Location: Remote Employment Type: Full-time; 40 hours per week Rate: 50k PHP (negotiable) Role summary We’re hiring an HR... 

    Scale-X Solutions

    Pasig
    2 days ago
  • Work Setup: Morning shift (Monday-Friday) Hybrid Setup: Primarily remote, with occasional onsite work required at least once per month Requirements: > Bachelor's degree in a related field > 3+ years in an HR managerial capacity (8 to 10 years of overall progressive... 

    TASQ Staffing Solutions

    Pasig
    29 days ago
  •  ...and our production teams. What you will do? 1. Set up and review campaign creative in accordance with client standards/service level...  ...enjoy these benefits: Access to Ayala perks and benefits Remote set-up and provided with complete work tools Internet Allowance... 

    Affinity Express Philippines Inc.

    Pasig
    25 days ago
  •  ...charts, and graphs, ensuring accuracy by reviewing deliverables for errors and...  ...client check-ins for ongoing updates, and utilizes probing questions to clarify unclear requests...  ...clients.​ Additional Information Remote-hybrid based role, must be physically... 

    NielsenIQ

    Pasig
    21 hours ago
  •  ...Utilization Review Coordinator JOB SUMMA RYWe 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... 

    Confidential

    Manila
    9 days ago
  •  ...equipment, and labor requirements, using digital tools and remote collaboration. . Review project plans, specifications, and related documents...  ...accordance with company policies and client requirements, utilizing digital document management systems. . Analyze... 

    Confidential

    Pasig
    7 days ago
  •  ...e.g. onboarding and offboarding of resources; ensuring all project resources are properly and fully utilized by the project; ensure capacity / allocation are reviewed and aligned with stakeholders, raise any performance concern – if BDO resource, internally; if third... 

    SLI Consulting Management

    Pasig
    6 days ago
  •  ...by the leadership/steering committee and demand management Review and actively monitor the project timeline to guarantee stakeholder...  ...modify schedules or plans as required. Analyze the budget utilization of each project and ensure that the project stays within... 

    Confidential

    Pasig
    15 days ago
  •  ...structural, mechanical, electrical, and architectural elements. - Utilize Revit for creating and managing project documentation, ensuring...  ...layouts. - Participate in project meetings to discuss and review design progress, challenges, and solutions. - Stay current... 

    Egis Group

    Pasig
    15 days ago
  •  ...calls. Rescheduling service orders for prospect customers. Review stage code orders to educate customers on installation status....  ...to customers concerns and properly set expectations while utilizing available resources. Be able to identify customer’s concerns... 

    Full Potential Solutions

    Pasig
    4 days ago
  •  ...more depth and sophistication from the sales business manager. Utilize a consistent contact attempt process via phone and e-mail to...  ...Independently source or mine own business leads – subject to review & approval process before dialing. Achieve pre-determined sales... 

    Full Potential Solutions

    Pasig
    4 days ago
  •  ...buildings, and other properties, based on validated valuations Review and ensure compliance with risk survey recommendations and...  ...units to advise on insurance needs, risk mitigation, and policy utilization for strategic decision-making Review statements of account... 

    SEAOIL Philippines, Inc.

    Pasig
    11 days ago
  •  ...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... 

    Health Business Solutions LLC

    Manila
    more than 2 months ago
  •  ...Position Summary: The Utilization Review Pharmacist is responsible for conducting clinical reviews of medication requests to determine medical necessity, appropriateness, and compliance with plan guidelines. Working closely with medical directors, case managers, and... 

    Confidential

    Taguig
    a month ago
  •  ...improve through feedback Coaching agents with upsell performance utilizing key behaviors such as positioning the sale, making an offer,...  ...each time even if it means doing the difficult things. Review, lead, and proactively suggest improvements to current policies... 

    Full Potential Solutions

    Pasig
    4 days ago
  •  ...Financial Reporting & Analysis Assist with preparation and review of annual budgets and forecasts Conduct financial analysis...  ..., and compliance Comfortable working independently in a remote setting Proficient in accounting software (e.g., Xero,... 

    Outsource Accelerator

    Pasig
    2 days ago
  •  ...Assist LPG Operations and Sales Analytics in ensuring efficient utilization and accounting of cylinder assets to enhance the initial LPG...  ...best business practices. Manage the LPG store database by reviewing buying patterns and cylinder rotation rates to monitor sales performance... 

    SEAOIL Philippines, Inc.

    Pasig
    11 days ago