Medical Review Jobs

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US Registered Nurse (USRN)  

Flatworld Philippines

: Perform clinical review and documentation based on medical charts, patient interviews, or claims Provide telephonic triage, patient education, or case management support, depending on the assigned account

from: bossjob.ph - 2 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 - 3 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 - 16 days ago

Medical Coder  

Go-Get Data Consultancy - Pasig, Philippines (+1 location)

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 (+1 source) - More than 30 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 - 8 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 - 6 days ago

Company Physician (Cabanatuan City Nueva Ecija)  

ActiveOne Health - Makati

periodic examinations of employees in designated medical monitoring programs; through health data analysis.promotion and disease prevention. Review results of medical screening tests. Provide and document

from: bossjob.ph - 6 days ago

US Registered Nurse | Onsite in Imus Cavite  

Career at Callmax Solutions - Philippines - Cavite

patient progress Utilization reviews: Determining if patients are receiving appropriate care for their condition or illness Consulting with staff: Discussing patient diagnosis, medical justification

from: bossjob.ph - 13 days ago

Clinical Appeals Nurse (PHRN) Temporary WFH  

Coronis Health - Pasig, National Capital Region (+1 location)

- 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 (+1 source) - 13 days ago

Quality Assurance Associate (Mandaluyong)  

Genfinity - Makati

or business-related field, or equivalent experience. 3+ years of experience in medical bill review, with direct experience in a workers compensation setting required. At least 1 year of experience in quality

from: bossjob.ph - 9 days ago


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