USRN – Dialysis Triage/Prior Authorization/Hospital Experience - Pasig, Metro Manila

+ The Itemized Bill Review (IBR) process is responsible for reviewing high-dollar prepayment inpatient claims to ensure they are clean and that all charges are reasonable, consistent, and billed accurately. · + · +BS Nursing with active PHRN license<liitem-With at least 1 year Ho ...

We are an experienced team of bookkeepers and administrators with multiple decades of combined experience across industries allowing companies to focus on their core business while we handle the rest. · ...

We are seeking an experienced Bookkeeper with a strong background in hospitality to support daily financial operations for a portfolio of restaurant and hotel clients.Reconcile bank accounts, POS sales, cash deposits, credit card batches, and delivery platform payoutsAssist with ...

The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. · ...

Howard Financial is seeking an experienced Bookkeeper with a strong background in hospitality to support daily financial operations for a portfolio of restaurant and hotel clients. · ...

We are seeking an experienced Bookkeeper with a strong background in hospitality to support daily financial operations for a portfolio of restaurant and hotel clients.This role requires excellent attention to detail, accurate record-keeping, and the ability to manage recurring wo ...

Function is responsible for performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. · ...

Clinical Interface/Liaison (clinical problem solver with facilities, providers, carriers; resolution of issues concerning members, benefit interpretation, program definition and clarification); Clinical Operations Analysis (monitors and analyzes medical management activities; pro ...

Registered nurse with 2 years of hospital experience sought for a full-time position in an acute care setting. · ...

This is your opportunity to do your life's best work. · ...

USRN – 2 Years Acute Hospital Experience (New York License) · ...

Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation.They also check if the codes are in accordance with industry coding standards as outlined by the Official Coding Guidelines, · the ...

Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation. · BS Nursing with active PHRN licenseWith at least 1 year Hospital bedside experienceMust be willing to accept 2 year training bon ...

Audits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation. · ...

The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer to peer review. · The rol ...

Serve as the main point of contact for corporate accounts, ensuring proper adjudication of member availments in the group hospitalization program and conduct visits for confined clients, inform about benefits, advise on cost-saving, and oversee discharge processes. · ...

Prior Authorization/Medical AR role for Registered Nurses with hospital experience in bedside. · ...

+ · We are seeking skilled and dedicated Registered Nurses (PHRN or USRN) to join our growing healthcare team. · ...

We are hiring Registered Nurses for our Utilization Management Review team to work post discharge and prebill accounts efficiently and effectively on a daily basis. · ...

We are currently looking for an Financial Clearance Specialist who will be working with Connext's Client in the United States of America. The job involves ensuring that all required patient demographic and financial information is obtained, verified, and processed accurately prio ...