Clinical Denials - Taguig
1 araw ang nakalipas
Job summary
The Clinical Denials and Appeals Specialist is responsible for reviewing claims denied and carrying out the appeals process appropriately and in a timely manner.This individual identifies and works denials, responding to the denial reason and resubmitting any information needed to the payor The Clinical Denials and Appeals Specialist should be knowledgeable of U.S. state/federal laws that relate to payor contracts and to the appeals process.
This role requires frequent and effective communication via phone, email,and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills,
Mga katulad na trabaho
Clinical Denials
3 linggo ang nakalipas
As Clinical Denials and Appeals Nurse Specialist – IP & OP you will review claims denied and carry out the appeals process appropriately and in a timely manner. This individual identifies and works denials responding to the denial reason resubmitting any information needed to the ...
Clinical Denials
1 buwan ang nakalipas
We are looking for a Clinical Denials & Appeals Nurse Specialist who will review denied claims, evaluate denial reasons, and carry out the appeals process in a timely and accurate manner. · ...
Clinical Denials
1 buwan ang nakalipas
We are looking for a Clinical Denials & Appeals Nurse Specialist – IP & OP who will review denied inpatient and outpatient claims and manage the appeals process accurately. · Review denied inpatient and outpatient claims. · Evaluate denial reasons using payor information. · ...
Clinical Denials
1 buwan ang nakalipas
We are looking for a Clinical Denials & Appeals Nurse Specialist to review denied claims and carry out appeals in a timely and accurate manner. · ...
Clinical Denials
1 buwan ang nakalipas
As a Clinical Denials & Appeals Nurse Specialist – IP & OP, you will review denied inpatient and outpatient claims and manage the appeals process accurately and within required timelines. · ...
Clinical Denials
4 linggo ang nakalipas
+500000* Why join MicroSourcing? · You'll Have Competitive Rewards: Enjoy above-market compensation , healthcare coverage on day one , plus one or more dependents , paid time-off with cash conversion , group life insurance , and performance bonuses A Collaborative Spirit: Contri ...
Clinical Denials
4 linggo ang nakalipas
The Clinical Denials and Appeals Nurse Specialist (IP & OP) is responsible for reviewing the claims denied and carrying out the appeals process appropriately and in a timely manner.This individual identifies and works denials, responding to the denial reason and resubmitting any ...
Clinical Denials
4 linggo ang nakalipas
The Clinical Denials and Appeals Nurse Specialist (IP & OP) is responsible for reviewing the claims denied and carrying out the appeals process appropriately and in a timely manner.This individual identifies and works denials, responding to the denial reason and resubmitting any ...
Clinical Denials
4 linggo ang nakalipas
Review claims denied by payors and carry out appeals processes timely. · The Clinical Denials & Appeals Nurse Specialist (IP & OP) identifies denials, evaluates denial reasons including information from payors, · reviews clinical documentation assessing options completing next st ...
Clinical Denials
1 buwan ang nakalipas
We are seeking a Clinical Denials Specialist-IP & OP to join our team at MicroSourcing. As a key member of our clinical appeals team, you will play a critical role in ensuring timely denials management.You will work closely with payors to resolve denials and appeals efficiently. ...
Clinical Denials
20 oras ang nakalipas
We are seeking a Clinical Denials & Appeals Nurse Specialist who will review claims denied and carry out the appeals process appropriately and in a timely manner. · The Clinical Denials and Appeals Nurse Specialist (IP & OP) is responsible for reviewing the claims denied and carr ...
PHRN Clinical Denials
1 buwan ang nakalipas
This is a full-time PHRN Clinical Denials role located in Metro Manila. · ...
Clinical Denials Nurse
1 linggo ang nakalipas
+We are seeking a highly skilled Clinical Denials Specialist (USRN) to support denial management for US healthcare clients. The ideal candidate will possess strong clinical judgment, in-depth knowledge of payer guidelines, and hands-on experience in medical necessity reviews and ...
Clinical Denials and Appeals Nurse
1 buwan ang nakalipas
We are seeking an experienced Clinical Denials and Appeals Nurse to join our team as a Team Leader. · ...
Clinical Denials and Appeals Manager
2 linggo ang nakalipas
The Clinical Denials and Appeals Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes. · You will lead a team to achieve specific goals by overseeing daily activities, assigning tas ...
Clinical Denials and Appeals Manager
2 linggo ang nakalipas
The Clinical Denials and Appeals Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes.This role ensures accuracy in utilization management up to and including the review of the clai ...
Clinical Denials Specialist
3 linggo ang nakalipas
We are seeking a highly skilled Clinical Denials Specialist (USRN) to support denial management and utilization review functions for US healthcare clients. · ...
Clinical Denials Specialist
1 linggo ang nakalipas
We are seeking a highly skilled Clinical Denials Specialist (USRN) to support denial management and utilization review functions. · Perform advanced-level clinical denial and utilization management activities. · Conduct comprehensive reviews of clinical documentation. · ...
Clinical Denials Team Leader
1 buwan ang nakalipas
· ...
PHRN Clinical Denials
1 buwan ang nakalipas
This is a full-time PHRN Clinical Denials role. · ...