Nurses | Clinical Auth, UMR, Leadership | Virtual Process

AVAILABLE POSITIONSUtilization Management Reviewer - At least 1 yr experience as UMR + 6 mos clinical/hospital experience (PHRN)Clinical Authorization Specialist - At least 1 yr background in Clinical Authorization + 6 mos clinical/hospital experience (Non-Registered Nurses are welcome to apply)Clinical Team Leader - At least 5 years of relevant BPO...

About the roleWe are seeking a talented and dedicated Telemedicine Admin (Clinic Staff) to join our team in Makati City, Metro Manila. This is a full-time position that will play a crucial role in supporting our growing telemedicine services. As the Telemedicine Admin, you will be responsible for managing administrative tasks and ensuring the smooth...

Qualifications:Registered Nursewith an active PRC LicenseStrong leadership and interpersonal skillsExcellent organizational and problem-solving skillsKnowledge of health care regulations and standardshave experience as a Clinic Supervisor / Team Lead Job Description:Oversee each Wellness Hub in the locationsEnsure the provision of trained and competent...

We are looking for a highly motivated professional who is well versed in clinical knowledge, healthcare staffing, people leadership and compliance. This role will interview nurse applicants and provide clinical insight on items relating to traveler documentation as well as provide education and expert interpretation for internal and external customers.Job...

SUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...

Duties and ResponsibilitiesProvide training to doctors and nurses on the use of aesthetic & medical devices (Laser, RF, etc)Maintain a comprehensive product and clinical knowledge of all devices represented by the company.Maintain a competent and current level of knowledge in her area of responsibility in general.Poses strong administrative skills to ensure...

Job Summary:As a Clinical Appeals QA, you will play a crucial role in reviewing and evaluating clinical appeals to ensure compliance with medical necessity criteria, state and federal guidelines, and other regulatory processes. You will utilize your nursing expertise and quality assurance skills to enhance the appeals process and ensure high standards of...

The Registered Nurse is responsible for the initial assessment, prioritization, and coordination of patient care for patients based in the United States. This role involves collecting patient information, evaluating their medical condition, and determining the appropriate care pathway. The Intake Nurse acts as the first point of contact for patients and...

Duties & ResponsibilitiesWork post discharge, prebill accounts efficiently and effectively on a daily basis to resolve accounts with "no auth numbers, ALOS vs. authorized days or other discrepancies  Evaluates clinical documentation on multiple patient accounts and escalates issues through the established channels Perform accurate and timely...

As an integral Makati Medical Center (MMC) healthcare team member, the Nursing Informatics & Innovation Officer (NIIO) upholds the MMC mission, vision, values, and strategic initiatives to provide the highest level of patient-centered care. In accordance with the Republic Act 2002 (R.A. 9173), Nurses Code of Ethics, and as articulated in the MMC nursing...

WE ARE IN NEED OF PHRNWork Location: Onsite in Ortigas QUALIFICATIONS:PHRN with active license 1 year prior auth OR Utilization Management OR Healthcare experience handling payer side/ provider side/ handling scheduling or any inbound process Amenable to work onsiteCan start ASAPSALARY:40,000 up to 50,000 By Applying, you give consent to collect, store,...

Job Title: Bookkeeping Virtual AssistantCompany: A+ Virtual ProLocation: RemoteType: Part-Time / Full-TimeWe are looking for a skilled and detail-oriented Bookkeeping Virtual Assistant to join our team. If you have a knack for numbers and a passion for keeping financial records accurate and up-to-date, we'd love to hear from youResponsibilities:Financial...

WE ARE HIRING FOR PHILIPPINE REGISTERED NURSE POSITION: ONCOLOGY NURSE ABSTRACTORNON VOICE - FIXED WEEKENDS OFF - START ASAP Job Description: Collecting and summarizing medical data from patient records. Reviewing patient charts, extracting relevant information, and entering it into databases or systems for various purposes such as quality improvement,...

Please apply through this link: JOB RESPONSIBILITIES:Provide on-site expertise on direct care for both occupational and non-occupational cases.Provide guidance on health screening results and recommend appropriate intervention.Assist Company Doctor during check-ups and consultation.Maintain an effective and accurate medical record system.Manage and track...

Job Objective / Purpose:The Clinic Operations Supervisor will oversee the Corporate Clinic Management Operations. S/he will ensure a Wellness Program is in place for each corporate client, ensure that the concerns of the POC per client is addressed in a timely manner, will assist in the expansion of the current operations of Corporate Clinic Management, and...

We are looking for a compassionate aesthetician to perform skin, body, and hair removal treatments with aesthetical devices and equipment. The asthetician will consult with clients to assess their requirements, make informed recommendations and explain services, assist them to select appropriate treatments, and ensure their care and satisfaction. The...

Responsibilities:Responsible for training A&G clinical staff on processes, policies, and systemsParticipate & lead in the development, implementation, and updating of training manuals to reflect new approaches to training, departmental and/or system process changes and MCG criteria updates as neededOversee and mentor new employees during the initial training...

Responsibilities:Conduct training for newly hired operational team members on core systems, processes, and applicationsDeliver training using multiple mediums – classroom, webinar, blended learning approachesDeliver continuing education, up skill, and performance improvement training as necessaryProvide feedback on trainee performance in the classroom to...

Exciting Opportunities for our REGISTERED NURSES (PHRN) You will be responsible in assisting clients with the services, medications and coverage of their insurance. Available opening:Nurse Associate - At least 1 year of hospital bedside experienceUtilization Management Review - At least 1 year of clinical appeals and denials or utilization reviewUSRN Academy...

Join Access Healthcare Manila as a Inpatient DRG Nurse Auditor. We are seeking talented individuals to join our team and help drive our success. Apply now and take the next step in your career today. We will provide free training on the client's medical billing software to perform this role.Tasks:Conduct initial audit reviews to validate billed diagnoses and...