Job Description: Conduct reviews of medical records, treatment plans, and patient information to determine the medical necessity and appropriateness of healthcare services, includi…
MUST READ!! We are hiring for one of our Clinician roles! We offer an industry-leading benefits package that includes the following: Fixed Weekends Off Performance Incentives Free …
#1 PH Workforce Delivering to the US Bizforce and our medical billing division, MedCore Solutions, are seeking skilled (US) Registered Nurse Coders to join our growing team. As a…
#1 PH Workforce Delivering to the US. MedCore Solutions, is seeking a Permanent Work from Home Telephone Triage Nurse (USRN) to join our growing team. MedCore allows the best tal…
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…
Qualifications: Candidate must be a graduate of Bachelor of Science in Nursing Must be a Registered Nurse with an active license Active Passport Preferably with 1 year of bedside /…
MUST READ!! We are hiring for one of our Clinician roles! We offer an industry-leading benefits package that includes the following: Fixed Weekends Off Performance Incentives Free …
Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action Requests clinical data from patie…
Comprehensively review and evaluate appeal and grievance requests to identify and classify member and provider appeals. Determine eligibility, benefits, and prior activity related…
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…
Handle inbound and outbound calls from patients and healthcare providers Analyze and determine eligibility of medical claims Coordinate with providers and specialists in assessin…
MUST READ!! We are hiring for one of our Clinician roles! We offer an industry-leading benefits package that includes the following: Fixed Weekends Off Performance Incentives Free …
USRN with ACTIVE LICENSE - CLINICAL ANALYST (NON-VOICE Account / Fixed Weekends Off) Analyse and determine eligibility of medical claims Coordinate with providers and specialists…
Provide information to existing and prospective customers about the benefits and coverage associated with different types of health care plans Describe and explain any exclusions …
Registered Nurses / Fixed Weekends Off / Back-Office (Non-voice) position Monitors healthcare documents to ensure compliance before submitting to insurance companies. Review requ…
We're on the hunt for a compassionate Licensed Nurse to join our team as a Company Nurse. If you're passionate about employee health, safety, and well-being, and you're ready to ma…
Site: Manila (MOA) Account: Healthcare with offer up to 35,000 depending on experience and assessment Type of Work: Voice Qualifications 1-2 years hospital bedside/medical centers …
Handle inbound and outbound calls from patients and healthcare providers. Analyze and determine eligibility of medical claims. Coordinate with providers and specialists in assess…
NCLEX Sponsorship 100% NCLEX Review Sponsorship for candidates Must agree to 2 years bond working for EXL as USRN With 25,000 Monthly Allowance Hybrid Working Setup Must have 2 yea…