Clinical Denials and Appeals Manager - Taguig

Para lamang sa mga rehistradong miyembro Taguig, Pilipinas

2 linggo ang nakalipas

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Job summary

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 claims denied. This manager ensures the team carries out the appeals process appropriately and in a timely manner. This leader ensures adherence to regulatory guidelines and payer requirements.


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