Perform quality audits across all functions of utilization management operations, reviewing completed work in comparison to established documented procedures to determine accuracy.…
For Direct Hiring Take inbound calls from existing subscribers and attend to their requests with courtesy and accuracy. Provide accurate and appropriate information on subscripti…
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…
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 -…
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 -…
This position is on Dayshift schedule and Hybrid (Temporary Work from Home) arrangement. Analyze provider documentation to assure the appropriate Evaluation & Management levels ar…
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…
Comprehensively review and evaluate appeal and grievance requests to identify and classify member and provider appeals. Determine eligibility, benefits, and prior activity related…
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 -…
Conduct inbound and outbound calls to healthcare providers Handle medical claims review and approval for reimbursements Provide clinical patient information as per request Fi…
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…
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 -…
Review from the comforts of your home while getting full pay. This is treated as full time employment. All NCLEX review, exam fees and license activation to be shouldered by the …
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 …
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 …
About The Company MedsGo was created with the goal of making medicines and healthcare supplies convenient for Filipinos. Founded in 2023, MedsGo is a digital service allowing custo…
Job Description Join the Future of Healthcare: Discover Global Opportunities Today! Embark on a transformative career journey with our client, where geographical boundaries hold no…
Perform concurrent review of patient’s clinical information for efficiency Coordinates patient’s discharge planning needs Reviewing and auditing patient treatment files, the util…
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