Provide necessary information to customers regarding the facilityโs services and doctorsโ availability Obtain necessary patient information such as medical histories and insurance…
Work with healthcare support providers to deliver outstanding care for patients Conduct outbound calls to providers to obtain authorization for medical procedures or prescription …
Professionally interact with customers and health care providers to resolve inquiries. Accurately relay information concerning medical claims on procedures and operations. Identi…
Conduct inbound and outbound calls to healthcare providers Handle medical claims review and approval for reimbursements Provide clinical patient information as per request Fi…
Work with healthcare support providers to deliver outstanding care for patients Conduct outbound calls to providers to obtain authorization for medical procedures or prescription …
Arrange admissions, transfers and consultations of patients. Coordinate with healthcare providers on medical claims concerns. Process claims of patients in accordance with compan…
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…
USRN with ACTIVE LICENSE - CLINICAL ANALYST (NON-VOICE Account / Fixed Weekends Off) Analyse and determine eligibility of medical 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…
Job Summary: Assists patients with pre-employment medical examinations. Willing to rotate in different testing sections (visual, audiometry, treadmill, ECG, BPM, immunization, s…
Position Overview The Company Nurse provides general first aid to employees as needed, assesses employee health risks, and promotes employee wellness in the workplace. The Compan…
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 …
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 …
Perform Utilization Management reviews in accordance with federal state mandated regulations. Utilizes the memberโs contract to determine coverage eligibility. Works with provide…
Work From Home Set-up during Quarantine Job Function: Review patient files or information and check if proper care is being rendered and recommend any improvement if necessary …
About Catena: At Catena, we redefine overseas hiring by cultivating Filipino talent. Our rigorous qualification program and exclusive upskilling opportunities pave the way for ou…
๐๐ป Hi! Weโre HPPI, part of the Hive Health Group About us is an HMO that is part of the Group of Companies, which is on a mission to provide the best-in-class health plans …
Job Description: Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate …