Medical Review Jobs in Lumban

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PHRN / Clinical Denials and Appeals  

Manpower Core Group Inc. - Taguig City, National Capital Region

inpatient and/or outpatient medical necessity and authorization denials to determine and understand the validity of such denials in a timely manner --Should conduct comprehensive reviews of the claim denial 50000

from: jobslin.com - 5 days ago

Coding Denial Specialist  

Coronis Health - Pasig City, National Capital Region

appeal resolution. Demonstrates proficiency in utilization of electronic tools utilized during the medical record quality review process including but not limited to application of coding guidelines

from: jobslin.com - 15 days ago

Medical Billing Specialist  

CompIQ Solutions, LLC - Pasay, Philippines

Encodes medical bills such as pharmacy, physical therapy, pathology, radiology, DME, anesthesia, med-legal, and other bills using IQ Review System. Meet daily production quotas in analyzing

from: bossjob.ph - 15 days ago

Certified Medical Coder | IP coder | WFH  

Access Healthcare Services - Taguig

) and a Certified Professional Coder (CPC) with at least 1 year of experience in Inpatient coding. A strong understanding of ICD-10 and PCS coding is essential to excel in this role. Key Responsibilities: Review

from: bossjob.ph - 5 days ago

Clinical Appeals Nurse Writer (PHRN)  

Coronis Health Philippines - Pasig City, National Capital Region

Performs medical record reviews concurrently and/or retrospectively and be able to determine why cases are denied and whether an appeal is required Able to review clinical denials in a timely manner

from: jobslin.com - 4 days ago

Allied Healthcare Specialist  

MetHealth - Quezon City, Philippines

Conduct in-depth utilization reviews to ensure medical necessity and appropriate care Assess eligibility and validity of medical claims with accuracy and compliance Collaborate with healthcare

from: bossjob.ph - 3 days ago

Medical Coder  

Go-Get Data Consultancy - Pasig, Philippines

skills including Microsoft Office Suite. Skills to work independently and be resourceful with the ability to multitask. As a medical coding, you will review patient medical records and assign codes

from: bossjob.ph - More than 30 days ago

Healthcare CSR (Medical Invoicing) LDE  

ISTA Personnel Solutions - Mandaluyong, Metro Manila

folders Review Medical Billing files for needed adjustments. Requirements At least 1-year BPO experience handling a healthcare account With experience in processing medical invoices Medical records

from: workable.com - 18 days ago

Medical Coder Analyst (RN with CPC) / Night Shift / Remote  

Manpower Core Group Inc. - Taguig City, National Capital Region

Coding, HCPCS, Medical Billing, Claims Denials and/or Chart Review/Auditing are required. Previous experience working with US health insurance payers in a claims, appeals or coding capacity 65000

from: jobslin.com - 8 days ago

Medical Claims Reimbursement Analyst  

Inlife Health Care - Makati

guidelines and policies Accurate claims adjudication as per agreed business Standard Operations Procedures within agreed SLAs Escalation of claims as per agreed SOP Review and escalation of medical codes

from: bossjob.ph - 10 days ago


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