PHRN Specialist - Taguig, Metro Manila

We are looking for PHRN Specialists who must have an active PRC License with at least one year of hospital or clinical BPO experience. · Active PRC License · 1 year hospital or clinical BPO experience · Preferably medical reviewer experience · ...

We are looking for PHRN Specialists to join our team. As a PHRN Specialist,you will have the opportunity to work on various projects and collaborate with experienced professionals. · Must have an active PRC License · Must have 1 year hospital or clinical BPO experience · Preferab ...

We are looking for a Training Specialist who will develop implement and evaluate training activities. He/She must have an active PHRN and USRN license. · ...

The responsibilities of a QA Specialist include ensuring accuracy of information and quality of delivery by monitoring auditing reviewing analyzing documenting work processes that further improves clinical operations standards. · ...

The position involves training USRNs with bedside experience to enter the CPO industry as a CDI specialist. The role requires reviewing and analyzing clinical documentation and collaborating with healthcare teams. · ...

+Job summary · We are seeking a highly skilled and detail-oriented CDI Specialist who holds an active U.S. Registered Nurse (USRN) license with Compact State privileges. · +Qualifications:Active PHRN and USRN license (Compact State preferred) · ...

We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. We will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. · ...

+Lead Clinical Denials and Appeals Team for hospital experience. · Review medical necessity denials to determine validity · Write appeal letters using clinical indicators · ...

A Quality Auditor is required to perform clinical authorization processes on a night shift from Monday to Friday. · ...

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers. The responsibilities of a Training Specialist are outlined but not limited to the following. · ...

We have an opening for a Clinical Documentation Quality Specialist at MicroSourcing. · Assist in QA program build by identifying critical workflow aspects and leveraging automation tools to enhance efficiency. · Monitor the performance of CDI staff using key productivity and accu ...

As a CDI Nurse Specialist - Inpatient at MicroSourcing, you will conduct concurrent and retrospective reviews of inpatient medical records to ensure accurate and complete documentation. · ...

Clinical Documentation Improvement (CDI) Nurse Specialist - IP will conduct concurrent and retrospective reviews of inpatient medical records to ensure accurate and complete documentation that reflects the patient's diagnoses, treatment, and severity of illness. · ...

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. · ...

+As Denials Management Nurse Specialist - IP/OP you will review denied claims and carry out the appeals process in a timely and accurate manner. · +Review denied claims, evaluate denial reasons, and carry out the appeals process in a timely and accurate manner. · ...

As a Clinical Documentation Supervisor at MicroSourcing you will supervise and support CDI staff on tasks such as hiring scheduling performance management monitoring productivity accuracy operational metrics conducting documentation audits accuracy reviews maintaining compliance ...

We are seeking a Clinical Documentation Improvement (CDI) Supervisor to join our team. As a CDI Supervisor, you will be responsible for supervising and supporting CDI staff, monitoring productivity and accuracy, conducting documentation audits and accuracy reviews. · Bachelor of ...

A Clinical Documentation Auditor will assist in QA program build by identifying critical workflow aspects and leveraging automation tools to enhance efficiency. They will monitor the performance of CDI staff using key productivity and accuracy metrics. · ...

The Documentation Improvement Operations Lead will supervise and support CDI staff, monitor productivity, accuracy, and operational metrics to ensure optimal team performance. The role involves conducting documentation audits and accuracy reviews to maintain compliance with ICD-1 ...

Deliver end-to-end process training covering assigned CDI domains. · Facilitate induction training for new and lateral hires, · as well as refresher and upskilling sessions for existing staff. · ...