Perform analysis and verify accounting transactions Ensure accuracy of related entry in the accounting system Conduct investigations for discrepancies raised Generate ad hoc rep…
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…
Extend medical support to provide quality and excellent medical services to patients Handle inbound calls from patients, healthcare providers and physicians Accurately process re…
Evaluate patients' records to determine eligibility to health insurance claims Consult with healthcare providers, clinics and physicians on the most effective and economical treat…
Provide assistance to victims of identity theft. Provide necessary counseling and education regarding theft cases to potential victim. Collect information on theft from victim …
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…
Handle inbound and make outbound calls or send emails from/to patients, hospitals and healthcare providers Adhere to regulatory and company policies at all times Review and asses…
Analyze and determine eligibility for medical claims Coordinate with providers and specialists in assessing validity of claims Inform patients of the result of validation of clai…
Extend medical support to provide quality and excellent medical services to patients Handle inbound calls from patients, healthcare providers and physicians Accurately process re…
Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiency Evaluates the patient’s situation against …
Analyze medical claims for approval. Validate necessity of medical procedures with the objective of optimizing costs. Coordinate with various healthcare providers and specialist …
Review documents and assess actions required Provide assistance to customers using phone and email Ensure customer requests are responded to in a timely manner Abide by company …
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 …
KYC Analysts are responsible for: Performing enhanced due diligence "EDD" reviews on high risk individual customers. Ensuring all high risk customers are reviewed on an annual ba…
USRN with ACTIVE LICENSE - CLINICAL ANALYST (NON-VOICE Account / Fixed Weekends Off) Analyse and determine eligibility of medical claims Coordinate with providers and specialists…
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