Clinical Denial QA - Rizal, Pilipinas - RSD Human Resource Management Consultancy

Clinical Denial Lead

Natagpuan sa: Foundit PH A2 - 6 araw ang nakalipas

The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a writt ...

Clinical Denials Clinician

Natagpuan sa: Foundit PH A2 - 1 araw ang nakalipas

The Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on ind ...

Clinical Denial Specialist

Natagpuan sa: Foundit PH A2 - 6 araw ang nakalipas

The Clinical Denial Specialist writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome. ...

Clinical Denial Lead

Natagpuan sa: Talent PH A C2 - 2 araw ang nakalipas

Performs advanced level work related to clinical denial management. The individual isresponsible for managing claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, andothers as assigned. ...

Clinical Denials Specialist

Natagpuan sa: Talent PH A C2 - 2 araw ang nakalipas

Skillset RequiredOP CodingLicense/Certification RequirementCertified Coder: CPC/COC/CIC/CCA/CCS-P/CCSShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteCoding Skills NeededICD 10 CM (Diagnosis Coding) & CPT ProcedureRequirements1. Bachelor of Science in Nursing graduate or ...

Clinical Denials Specialist

Natagpuan sa: Trabajos diarios PH C2 - 6 araw ang nakalipas

Skillset Required: OP Coding · License/Certification Requirement: Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCS · -PM SHIFT · Work Arrangement: Temp WFH, hybrid or onsite · Training Arrangement: Temporary WFH · Coding Skills Needed: ICD 10 CM (Diagnosis Coding) & CPT Procedure · Req ...

Clinical Denials Specialist

Natagpuan sa: Foundit PH A2 - 3 araw ang nakalipas

Skillset Required: OP Coding · License/Certification Requirement: Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCSPM SHIFT · Work Arrangement: Temp WFH, hybrid or onsite · Training Arrangement: Temporary WFH · Coding Skills Needed: ICD 10 CM (Diagnosis Coding) & CPT Procedure · Require ...

Clinical Denials Specialist

Natagpuan sa: Talent PH A C2 - 5 araw ang nakalipas

Skillset Required: OP CodingLicense/Certification Requirement: Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCS-PM SHIFTWork Arrangement: Temp WFH, hybrid or onsiteTraining Arrangement: Temporary WFHCoding Skills Needed: ICD 10 CM (Diagnosis Coding) & CPT ProcedureRequirements:"1. Bach ...

Clinical Denials Lead

Natagpuan sa: Trabajos diarios PH C2 - 6 araw ang nakalipas

Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCS · Working Set up : Temp WFH, hybrid or onsite · "1. Bachelor of Science in Nursing graduate or Medical Allied Health Course · 2. Preferrably with work experience in · a. Revenue Cycle (medical coding) experience. · b. Knowledge of medica ...

Clinical Denials Specialist

Natagpuan sa: Trabajos diarios PH C2 - 6 araw ang nakalipas

Skillset Required · OP Coding · License/Certification Requirement · Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCS · Shift Schedule · AM · Work Arrangement · Temp WFH, hybrid or onsite · Coding Skills Needed · ICD 10 CM (Diagnosis Coding) & CPT Procedure · Requirements · 1. Bachelor ...

Clinical Denials Specialist QA

Natagpuan sa: Talent PH A C2 - 2 araw ang nakalipas

Certified Coder: CPC/COC/CIC/CCA/CCS-P/CCSWorking Set up : Temp WFH, hybrid or onsite"1. Bachelor of Science in Nursing graduate or Medical Allied Health Course2. Preferrably with work experience ina. Revenue Cycle (medical coding) experience.b. Knowledge of medical and billing t ...

PAR Writer

Natagpuan sa: Foundit PH A2 - 1 araw ang nakalipas

PAR Specialist/PAR Writer position description: Under the direct supervision of the Clinical Director, and in collaboration with the Clinical Team, this position is the key to the financial success of the organization. Working with the Case Managers, Clinicians and Nurses, this p ...

Medical Coder

Natagpuan sa: Foundit PH A2 - 1 araw ang nakalipas

#1 PH Workforce Delivering to the US · Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into ...

Medical Coder

Natagpuan sa: Foundit PH A2 - 1 araw ang nakalipas

#1 PH Workforce Delivering to the US · Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Inpatient Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical docu ...

Medical Content Analyst

Natagpuan sa: Foundit PH A2 - 6 araw ang nakalipas

ABOUT THE CLIENT: · Lyric is a healthcare technology company that offers services in reducing healthcare costs through clinical content analytics and automation. · Lyric takes the guesswork out of the payment accuracy cycle. Through decades of experience with the healthcare indus ...

Denials Process Consultant 3 yrs of experience in Denial Managemt

Natagpuan sa: Talent PH A C2 - 2 araw ang nakalipas

Denials Process Consultant***At least 3 years of experience in Denial Management · • 5+ years of experience working with RCM hospitals and operations or clinical professionals · • 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track im ...

Clinical Appeals

Natagpuan sa: Foundit PH A2 - 6 araw ang nakalipas

Skillset Required · Audit/Quality Analyst · License/Certification Requirement · PHRN · Shift Schedule · AM · Work Arrangement · Temp WFH, hybrid or onsite · Experience: · -Clinical Appeals QA: 1 year (Required) · - Knowledgeable in medical terminology, anatomy, and physiology · ...

Clinical Appeals

Natagpuan sa: Foundit PH A2 - 6 araw ang nakalipas

Skillset Required · Audit/Quality Analyst · License/Certification Requirement · USRN · Shift Schedule · AM · Work Arrangement · Temp WFH, hybrid or onsite · Experience: · - Clinical Appeals QA: 1 year (Required) · - Knowledgeable in medical terminology, anatomy, and physiology · ...

Denials Process Consultant 3 yrs of experience in Denial Managemt

Natagpuan sa: Trabajos diarios PH C2 - 2 araw ang nakalipas

Denials Process Consultant · ***At least 3 years of experience in Denial Management · • 5+ years of experience working with RCM hospitals and operations or clinical professionals · • 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track ...

Clinical Appeals

Natagpuan sa: Talent PH A C2 - 1 araw ang nakalipas

Skillset RequiredAudit/Quality AnalystLicense/Certification RequirementPHRNShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteExperience: -Clinical Appeals QA: 1 year (Required)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pr ...