Evaluate patients' records to determine eligibility to health insurance claims Consult with healthcare providers, clinics and physicians on the most effective and economical treat…
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 outbound calls from patients and healthcare providers. Analyze and determine eligibility of medical claims. Coordinate with providers and specialists in assess…
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…
USRN with ACTIVE LICENSE - CLINICAL ANALYST (NON-VOICE Account / Fixed Weekends Off) Analyse and determine eligibility of medical claims Coordinate with providers and specialists…
Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action Requests clinical data from patie…
Deal directly with customers either by telephone or electronically thru emails, chat and other messaging system Respond promptly to customer inquiries with courtesy Perform custo…
Provide customers with product and service information Capture and update customer information into the system Resolve customer concers in a timely and courteous manner Responsi…
Registered Nurses / Fixed Weekends Off / Back-Office (Non-voice) position Monitors healthcare documents to ensure compliance before submitting to insurance companies. Review requ…
Handle inbound calls with utmost professionalism and tact. Provide solutions to customer concerns and make follow through to ascertain satisfaction of resolution. Assist customer…
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