DRG Appeals Specialist - Pasig

+PHRN - Prior Auth/Appeals/AR role with BPO experience in a healthcare account and Registered Nurse (PHRN) license required. Can start in January. · +BPO experience in a healthcare account · +Registered Nurse (PHRN) license · ...

This role involves handling prior authorization, appeals, and ARs in a healthcare account with a Registered Nurse (PHRN) license. · ...

The Clinical Appeals Specialist (PHRN) is Responsible for the Review, Processing, and Resolution of Appeal(s) Case(s) in Compliance with NCQA and if Applicable, CMS Regulatory Standard(s) and Client Specific Guideline(s). · ...

Hello! Are you looking for a challenging role that combines your passion for education and healthcare? · We have an exciting opportunity for a Denials & Appeals Education Specialist to join our team at MicroSourcing! · You will be responsible for delivering end-to-end process tra ...

We are looking for a Denials & Appeals Compliance Specialist to support our QA program build by identifying key audit areas, critical workflow aspects, and automation opportunities to enhance efficiency. · ...

We are looking for a detail-oriented Inpatient Coding Denials Specialist to analyze and resolve coding-related denials with a focus on timely reimbursement and revenue loss. · Associates or Bachelors degree in Health Information Management Nursing or a related field preferred. · ...

The Audit Specialist supports the Audit department by auditing, submitting, monitoring and resolving VA and Medicaid claims for Home Health, · Home Health Aide and Respite Care services.This individual serves as a subject-matter expert for assigned payers and state billing requir ...

Certified Medical Coder responsible for reviewing and assigning appropriate codes for facility and professional billed services. · Review and assign appropriate codes for both facility (hospital) and professional (physician) billed servicesEvaluate and resolve claim denials, incl ...

The Audit Specialist supports the Audit department by auditing, submitting, monitoring, and resolving VA and Medicaid claims for Home Health, Home Health Aide, and Respite Care services. · ...

>The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. · ...

This role involves working as a Medical Billing Specialist with responsibilities including coverage and access specialist and care navigator roles. · ...

Coverage and Access Specialist (PHRN) with Care Navigator responsibilities. · ...

With signing bonus · Work setup: onsite (Ortigas,Pasig City) · Shift: Shifting schedule predominantly Nightshift · Coverage and Access Specialist(PHRN) responsibilities include interacting with insurance payer representatives and accurately documenting payer interactions to infor ...

With signing bonus* Setup: On-site in Ortigas Pasig Schedule: Shifting schedule predominantly night shift Role Requirements: · Must have an active PHRN license · With or without BPO experience · Good English communication skills Available start dates: ...

Nurses (PHRN) · Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications · Care Navigator (PHRN)Develop and maintain Subject Matter Expert (SME) level knowledge of the ...

We are seeking a licensed nurse to join our team in Ortigas, Pasig City. The successful candidate will have experience in prior authorization or eligibility, claims and benefits (payer) and good English communication skills. · ...

We are seeking a Healthcare Specialist to join our team. The successful candidate will have experience working with healthcare regulations and compliance. · Coverage and Access Specialist (PHRN) · ...

We are seeking a detail-oriented and proactive Digital Orders & Customer Experience Junior Specialist to join our team. In this role, you will play a key role in supporting the sales and fulfilment cycle by ensuring the accuracy and efficiency of order processing activities. · Th ...

We are looking for a highly motivated Social Media Specialist who will be accountable for delivering a social first, performance-driven presence across Asia Pacific market such as Malaysia, Thailand, Indonesia, Australia and New Zealand from a Philippine base resource. · ...

+We are looking for a highly motivated Social Media Specialist who will be accountable for delivering a social first, performance-driven presence across Asia Pacific market such as Malaysia, Thailand, Indonesia, Australia and New Zealand from a Philippine base resource. · +Conten ...