US Customer Service and Data Review Specialists - Taguig
1 linggo ang nakalipas
Paglalarawan ng trabaho
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Mga katulad na trabaho
We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, · Collaborate with physicians and other healthcare professionals to ensure accurate documentation is provided to payors · Ensure strict compliance with payer requirements and reg ...
1 buwan ang nakalipas
As a Utilization Review Nurse Specialist at MicroSourcing, you will conduct thorough initial, concurrent, and retrospective reviews of patient medical records to determine the medical necessity and appropriate level of care. · At least 1 year of utilization review experience · Cl ...
1 buwan ang nakalipas
We are looking for a Utilization Review Nurse Specialist to optimize clinical outcomes and control patient care costs. · ...
1 linggo ang nakalipas
To independently conduct comprehensive post-review assessments of approved loan accounts. · ...
1 buwan ang nakalipas
The Post Review Specialist conducts comprehensive post-review assessments of approved loan accounts to ensure compliance with credit policies and integrity of approval decisions. · Graduate degree in Business Administration, Finance, Accounting or Economics · At least 1-3 years e ...
3 linggo ang nakalipas
We are currently seeking a Clinical Reviewer Specialist to join our team in Manila.Clinical Reviewer Specialists perform clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance ...
2 linggo ang nakalipas
US Customer Service and Data Review Specialists
Para lamang sa mga rehistradong miyembro
Respond to customer tickets through our queue system · Email correspondence with customers to gather information and updated data · Evaluate forms and assess customer needs to give exceptional service · Develop retention strategies to reduce customer churn. · ...
1 buwan ang nakalipas
Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal. Ensures timely review, processing, · and response to appeal in accordance with State, Federal and NCQA standards. ...
2 linggo ang nakalipas
The Fraud Reviewer analyzes transaction data to identify fraudulent transactions. · Daily monitoring of suspicious transactions. · Generate insights by analyzing patterns. · ...
5 araw ang nakalipas
The Fraud reviewer analyzes transaction data and user behavior to identify fraudulent/ high risk transactions as well as suggest improvements to business processes and systems. · ...
1 buwan ang nakalipas
US Customer Service and Data Review Specialists
Para lamang sa mga rehistradong miyembro
The position of US Customer Service and Data Review Specialist is located in the Philippines. · The role is responsible to have customer interaction, high levels of support and time management skills. · ...
1 buwan ang nakalipas
The Fraud reviewer analyzes transaction data and user behavior to identify fraudulent/ high risk transactions as well as suggest improvements to business processes and systems to prevent such transactions from happening in the future. · ...
1 buwan ang nakalipas
The Fraud reviewer analyzes transaction data and user behavior to identify fraudulent/ high risk transactions as well as suggest improvements to business processes and systems to prevent such transactions from happening in the future. The roles and responsibilities include the fo ...
9 oras ang nakalipas
US Customer Service and Data Review Specialists
Para lamang sa mga rehistradong miyembro
The US Customer Service and Data Review Specialist position is responsible for customer interaction, high levels of support and time management skills. · ...
1 buwan ang nakalipas
Utilization Review Nurse Specialist l 50k sign-on bonus
Para lamang sa mga rehistradong miyembro
The Utilization Review Nurse Specialist is responsible for optimizing clinical outcomes and controlling patient care costs by confirming that healthcare services provided are medically necessary, appropriate, and efficient. · ...
1 linggo ang nakalipas
Utilization Review Nurse Specialist l 50k sign-on bonus
Para lamang sa mga rehistradong miyembro
The Utilization Review Nurse Specialist is responsible for optimizing clinical outcomes and controlling patient care costs by confirming that healthcare services provided are medically necessary, appropriate, and efficient. · The Utilization Review Nurse Specialist collaborates e ...
1 buwan ang nakalipas
We are currently seeking a Clinical Reviewer Specialist to join our team in Manila, National Capital Region (PH-00), Philippines (PH). Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for ...
1 linggo ang nakalipas
Utilization Review Nurse Specialist l 50k sign-on bonus
Para lamang sa mga rehistradong miyembro
The Utilization Review Nurse Specialist is responsible for optimizing clinical outcomes and controlling patient care costs by confirming that healthcare services provided are medically necessary, appropriate, and efficient.Conduct thorough initial concurrent retrospective reviews ...
1 buwan ang nakalipas
Utilization Review Nurse Specialist l 50k sign-on bonus
Para lamang sa mga rehistradong miyembro
+Job summary · The Utilization Review Nurse Specialist is responsible for optimizing clinical outcomes and controlling patient care costs by confirming that healthcare services provided are medically necessary, appropriate, and efficient. · +ResponsibilitiesConduct thorough initi ...
1 buwan ang nakalipas
ECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business c ...
1 buwan ang nakalipas