Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiency Evaluate the patient’s situation against t…
Complete authorizations and referrals for services, including appointments and procedures Review patient's medical history and insurance coverage for approval Contact referring p…
Extend medical support to provide quality and excellent medical services to patients Handle inbound calls from patients, healthcare providers and physicians Accurately process re…
Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action Requests clinical data from patie…
All CIC (Certified Inpatient Coder) review, exam fees and certification costs to be shouldered by the sponsoring company while candidate receives full salary. Duties and Responsi…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in lifetime opportunity to be sponsored for free NCLEX Review. Terms: Free 3-month NCLEX review -…
Work with healthcare support providers to deliver outstanding care for patients Conduct outbound calls to providers to obtain authorization for medical procedures or prescription …
60,000 Signing Bonus to all successful hires. Limited Slots! This is treated as full time employment. Candidate must be willing to review on-site. All NCLEX review, exam fees a…
Analyze medical claims for approval. Validate necessity of medical procedures with the objective of optimizing costs. Coordinate with various healthcare providers and specialist …
Assists patients with questions regarding their health insurance coverage. Helps patients manage complex medical conditions by organizing the high-quality daily care services requ…
Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiency Evaluates the patient’s situation against …
For Direct Hiring Assist patients in registering efficiently and completing all required forms for availing of healthcare services Furnish members and health care practitioners w…
Professionally interact with customers and health care providers to resolve inquiries. Accurately relay information concerning medical claims on procedures and operations. Identi…
Handle inbound and outbound calls from patients and healthcare providers. Analyze and determine eligibility of medical claims. Coordinate with providers and specialists in assess…
USRN with Active License Analyst (Non-voice Account / Fixed Weekends Off) Evaluate patients' records to determine eligibility to health insurance claims Consult with healthcare p…
Takes direct responsbility for a team of healthcare agents Ensure the team is supported and enabled to perform at high standards and in accordance with the company's policies Pro…
Analyze eligibility of medical claims of patients Handle both inbound and outbound calls for matters related to health insurance claims Coordinate with providers and specialists …
Responsible for evaluating and screening potential admissions to the facility. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or c…
Work as representative of healthcare company to provide quality and excellent medical services to patients Respond to inbound calls from patients and healthcare providers in a pro…
Responsible for evaluating and screening potential admissions to the facility. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or c…