- ...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...
- ...The Utilization Review Specialist is responsible for managing all aspects of the utilization review process, including preauthorization, Single... ...with strong organizational and time-management skills. This is a full time role Up to $6/hr 100% Remote Work...
- ...Job Description: Grievance & Appeals • Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. • Creates a detailed case summary in narrative format for each...
- ...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...
- ...Essential Job Duties And Responsibilities Job Title: Medical Review Nurse Set-up: Work Onsite (Ortigas, Pasig) Schedule:... ...Broad nursing experience is preferred Prior experience in utilization management, case management or reviewing of medical reporting...
- CLICK TO APPLY VIEW MORE JOBS The Utility Personnel is responsible for the smooth functioning of the office by managing office supplies, maintaining facilities and equipment, and providing administrative support. Duties And Responsibilities Releases office supplies...
- ...development status, and propose improvement plans and measures 3. Be Responsible for expanding major customers and breakthroughs in Utility scale Ground mounted or Floating scenario projects, expand and lay out overseas markets, develop sales strategies, guide various...
- ...Role Title: Live Scan Review Specialist ECLARO: A quick Summary ECLARO is an award-winning professional services... ..., permanent placement, custom outsourcing & offshoring. Utilizing our proprietary TRINIT-E® Service Maturity Model, we help clients...
- ...Role: AI Basketball Analysis Reviewer Location: Remote We are hiring basketball experts — passionate fans, journalists, commentators, and former or semi-professional players — to evaluate real-time basketball coverage and help improve AI-generated sports insights...
- Deliverables Ensure the cleanliness and safety of working areas Empty trash receptacles and ensure appropriate disposing off trash Comply with proper segregation and disposal Maintain and request if necessary for the cleaning materials and supplies Clean...
- Performs proper and good office housekeeping procedures; Ensures cleanliness of the office and the surrounding areas which includes floors, windows, doors, filling cabinets, working stations, chairs, pantry facilities, bathrooms and toilet facilities and other office...
- ...Description Primary Responsibility: The P iping Stress Review engineer is responsible for the technical review of piping flexibility... .... Effective communication and collaboration skills in remote and multidisciplinary environments. Works well under pressure...
- ...Risk Scoring and financial spreadsheets. Researches and includes all pertinent industry data and statistics that are material to the evaluation of the account. Monitors performance of accounts under his/her portfolio and conducts review / reporting when needed....
- Job Description: -Can manage a team and train team members to enhance skills in credit risk analysis and learn the credit rating systems of the bank. -Understands standard Bank policies and procedures as well as regulatory requirements. -Can interface well with...
- ...We are looking for a Property Utility Specialist for a Property management client of ours. The Property Utility Specialist is responsible for the end-to-end management of utility billing, onboarding, and invoice processing for one of our clients. This role ensures...
- ...and shareholders while building trusted, long-lasting relationships. Role Description Accenture is seeking a full-time Utilities Asset Management Consultant to join our team in Mandaluyong in an on-site capacity. In this role, you will provide consulting services...
- ...Key Responsibilities Review and assess credit applications, financial statements, and supporting documents for completeness and accuracy. Analyze applicants' creditworthiness based on financial history, income, collateral, and risk factors. Ensure compliance...
- ...Were Hiring: Manual Review Processor! Looking for a role that fosters collaboration, creativity and career growth in a vibrant office environment We got you covered! We are currently on the lookout for a Manual Review Processor to join our team at Cloudstaff, the...
- ...Primary Responsibilities: Awareness and understanding of relevant GVP modules. Perform medical review of non-serious & serious ICSRs with emphasis on seriousness, expectedness, causality & narrative etc. without missing on quality & compliance. Experience of...
- ...About The Role We are seeking an experienced Civil Engineer with a strong background in design and design review for solar projects . The ideal candidate will ensure that all civil and structural aspects of solar installations meet industry standards, project specifications...
- ...Primary Responsibilities: The pressure vessels (CE marking) review engineer is responsible to ensure that all pressure vessels are... ...integrity and sense of responsibility. Effective communication and collaboration skills in remote and multidisciplinary environments....
- ...Job Title: Oracle Utilities Application (OUAF) Developer - Junior Level Qualification: Bachelor's Degree in Computer Science or equivalent... ...earning credits upon hire) ✅ Annual salary and variable pay review About RIA Advisory: RIA Advisory LLC (RIA) is a...
- ...Key Responsibilities Financial Reporting & Analysis Review, adjust, and analyze full monthly and quarterly financial statements... ...financial reports, including commission calculations, labor utilization, and expenditure analyses. Present monthly financial results...
- ...project. The hours will align with the IST time zone. PLEASE REVIEW THE MANDATORY REQUIREMENT BEFORE APPLYING: Must be able to... ...00 to $5.00 per hour This is an exciting opportunity for a remote freelance position! Please kindly note that hours are dependent...
- ...across the country. As part of our growing remote operations, we're seeking a proactive,... ...and collections for assigned facilities Review and process claims with a high degree of... ...compliance with regulatory standards Utilize billing software and tools to ensure efficient...
- ...Job Description: Recruiter / Talent Acquisition Specialist (Remote) We are looking for an experienced Recruiter / Talent Acquisition... ...applicants promptly and maintain consistent communication. Utilize Apploi and our in-house recruitment system to track candidates...
- ...analysis. This role involves preparing and reviewing complex tax returns, conducting tax... ...deductions, credits, and distributions. Utilize tax software for tax preparation, filing... ...projects and meet tight deadlines. Willing to work US hours Fully remote work...
- ...We are looking for a Remote Nurse! We Offer: A full remote work opportunity Hourly rate: $6/hr Fulltime Weekly salary payout... ..., DOT/FAA compliance letters, and complete other forms Review and sort through our clinical inbox and summarize sleep study results...
- ...to enhance skills and improve project outcomes. Professional & Technical Skills Required Skill: Expert proficiency in Oracle Utilities Customer to Meter C2M SPL. Strong understanding of software development life cycle methodologies. Experience with database...
- ...Bill queue and the D360 exception queue, ensuring all bill rejections are cleared. ~ Process reconsideration bills, including fee reviews in accordance with state fee schedules. ~ Recognize and document roadblocks when a bill encounters a processing error or requires...
Utilization review remote jobs in Philippines
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