I. Education, License & Certification: Graduate of BS Nursing; preferably with valid PRC license BLS and BOSH Training is highly desirable for this role II. Work Experience: Prefer…
Job Type: Full-time Benefits: Company events Flexible schedule Health insurance Life insurance Supplemental pay types: 13th month salary The Role Job description …
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 Evaluate the patient’s situation against t…
Line of Service Internal Firm Services Industry/Sector Not Applicable Specialism IFS - Human Capital (HC) Management Level Specialist Job Description & Summary A career wit…
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 -…
Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action Requests clinical data from patie…
Provide necessary information to customers regarding the facility’s services and doctors’ availability Obtain necessary patient information such as medical histories and insurance…
Inviting all Registered Nurses who are aspiring USRNs. Apply and get this once in a lifetime opportunity to be sponsored for a free NCLEX Review. Terms: Free 3-month NCLEX revi…
Work with healthcare support providers to deliver outstanding care for patients Conduct outbound calls to providers to obtain authorization for medical procedures or prescription …
Evaluate patients' records to determine eligibility to health insurance claims Consult with healthcare providers, clinics and physicians on the most effective and economical treat…
Professionally interact with customers and health care providers to resolve inquiries. Accurately relay information concerning medical claims on procedures and operations. Identi…
Handle inbound and outbound calls from patients and healthcare providers. Analyze and determine eligibility of medical claims. Coordinate with providers and specialists in assess…
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…
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…
Responsible for the review, audit and data entry of medical bills to initiate payment process. Examine documents for accuracy, such as patient records, referrals, authorizations a…
Conduct inbound and outbound calls to healthcare providers Handle medical claims review and approval for reimbursements Provide clinical patient information as per request Fi…
Analyze medical claims for approval. Validate necessity of medical procedures with the objective of optimizing costs. Coordinate with various healthcare providers and specialist …
Handle inbound and outbound calls from patients and healthcare providers Analyze and determine eligibility of medical claims Coordinate with providers and specialists in assessin…