Clinical Specialist

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 APPLICATION SPECIALIST (North and Central Luzon / NCR)Fresh Graduates are welcome to APPLYBachelor's Degree (Medical Technology)Travelling throughout an assigned area.Product Demo/PresentationCustomer Service and TroubleshootingExcellent communication and presentation.Have non-pro Driver's License and can drive. (Preferably)Job...

As a Clinical Marketing Specialist, you will play a pivotal role in promoting our specialty diagnostics products and solutions. Your expertise in clinical marketing, combined with your understanding of the Biomarkers portfolio within the Pharma space, will contribute to our growth and success.Key Responsibilities:Strategic Messaging and Positioning:Utilize...

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 written appeal is needed, or if no action is .

Access Healthcare is looking for an experienced Training Specialist for our Clinical accounts. Facilitates virtual and in-person new hire, upskill, recursive, skill enhancement, knowledge update and compliance training sessionsFacilitates and attends train the trainer sessions, as neededSends daily attendance, training and class endorsement reportsCreates,...

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Pampanga, and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity...

Helpdesk Specialist Level: Rank and FileLeadership Responsibility: NAReporting Line: Helpdesk SupervisorPosition Accountability Statement:Accountable for the accurate implementation of members' healthcare benefit policies at the assigned Helpdesks focusing on utilization management and the delivery of superior customer services. Broad Responsibility...

Helpdesk Specialist Level: Rank and FileLeadership Responsibility: NAReporting Line: Helpdesk SupervisorPosition Accountability Statement:Accountable for the accurate implementation of members' healthcare benefit policies at the assigned Helpdesks focusing on utilization management and the delivery of superior customer services. Broad Responsibility...

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaRemote Work Locations: Baguio & DavaoOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life...

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaRemote Work Locations: Baguio & DavaoOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life...

Employee Referral Program Channel Lead/Specialist Business/Systems Analysts (Information & Communication Technology) The primary role of a Sourcing Associate/Specialist is to manage and activate hiring campaigns from a sourcing channel to deliver leads conversion to hires. The person is responsible for building talent pipelines and maintain talent...

The Patient Care Specialist (Front Desk Specialist) primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner.Job Qualifications:Candidate must possess at least Bachelor's Degree/Post Graduate Diploma/Professional Degree in Business...

The Patient Care Specialist (Front Desk Specialist) primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner.Job Qualifications:Candidate must possess at least Bachelor's Degree/Post Graduate Diploma/Professional Degree in Business...

Join over 3000+ Healthcare Graduates who have trusted Shearwater CPO - Home of Clinicians. Apply now so you can:Stay healthy with HMO upon hireGet Annual Salary IncreaseBe secured with FREE Life InsuranceThe responsibilities of a QA Specialist are as follows:Responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing,...

Job SummaryThe Home Health and Hospice Medical Coder analyzes clinical documentation and accurately assigns diagnosis codes to maximize reimbursements for the organization. The employee must be able to function with a high degree of independence and exercise judgment and discretion.Responsibilities Review patient's medical history and physical, perform...

Job SummaryThe Home Health and Hospice Medical Coder analyzes clinical documentation and accurately assigns diagnosis codes to maximize reimbursements for the organization. The employee must be able to function with a high degree of independence and exercise judgment and discretion.Responsibilities Review patient's medical history and physical, perform...

The Front Desk Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner. Job Qualifications:Candidate must possess at least Bachelor's Degree/Post Graduate Diploma/Professional Degree in Business Studies/Administration/Management,...

The Front Desk Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner. Job Qualifications:Candidate must possess at least Bachelor's Degree/Post Graduate Diploma/Professional Degree in Business Studies/Administration/Management,...

As a Senior Medical Coding Specialist you will be joining the world's largest & most comprehensive clinical research organisation, powered by healthcare intelligenge.You will be partnering with a global pharmaceutical company committed to discovering and developing treatments that improve and save people ́s lives.Working in this program you will feel...

Join our team and make a difference in healthcare We're seeking passionate MEDICAL SALES SPECIALISTS to champion our life-changing products. Ready to elevate your career and impact lives? Apply nowEast Lane Corporation is a leading healthcare organization dedicated to improving patient outcomes through innovative medical solutions. We specialize in Medical...