PHRN - Clinical Authorization Specialist

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...

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...

With over 9,000 professionals across 12 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider. PAR Writer, be 100% YOU with MicroSourcing A PAR Writer is expected to:Under the direct supervision of the Clinical Director, and in collaboration with the Clinical Team, this position is the key to the...

QualificationsAt least 1 year of relevant BPO experience as a Utilization Review NursePHRN licensed Willing to report onsite and on a night shift scheduleJob DescriptionProvide health care utilization review services regarding admissions, observations, Discharge Wqs based on the payer types and review types. Review admissions and service requests within...

POSITION: Prior Authorization SpecialistDEPARTMENT: Quality EnhancementREPORTS TO: Team Leader/ Claims AdjusterDIRECT REPORTS: NoneCORE VALUESThe core values of Office Symmetry Eligibility and Prior Authorization are dignity and stewardship. Each staff member is expected to perform their job duties in a way that preserves dignity for our patients and...

Job PurposeAuthorizations Management is a service delivery team that works to obtain prior authorizations and referrals for medical practices throughout the US. We work to take the burden off practices by initiating the authorization process as soon as providers order medical services. Job Duties and Responsibilities· Prioritize incoming authorization and...

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...

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...

We are hiring for USRN - Utilization Review Author Rewarding Sign On Bonus Awaits You- Get as much as TWICE your monthly basic salary If interested, you may now apply using this Workday link below: Qualifications:Bachelor of Science in NursingMust have an active USRN Mainland LicenseAt least 2 years of recent hospital-based Utilization Review experience or...

This role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.The Clinical Document Specialist assists in clarifying documentation regarding patient diagnoses and/or procedures, co-morbid conditions, complications, and any other related data for reporting. The work involves the use of proprietary...

(Must be a PHRN with BPO background in healthcare) GENERAL PROFILEMaintains an active PHRN license essential to deliver the role/function.Has at least 2-year related process or clinical experienceHas orientation/experience on audit process for at least 1-2 years (data entry or telephonic) Proficient in a range of operational processes through prior...

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...

Cognizant is a global organization serving clients across multiple industries with a deep set of offerings provided by our practice areas and supported by corporate and enabling functions. Employing roughly 270,000 talented associates worldwide, Cognizant is dedicated to anticipating and solving clients' toughest problems and enabling them to thrive in the...

Job Requirements:Candidate must possess at least Bachelor's/ College Degree preferably in Nursing, Medical Technology, Biology, Chemistry, Physical Therapy, Radiologic Technology or equivalent.Preferably with experience in medical devices/products/equipment industry and with exposure in Orthopedics / Cardiology / Surgery/Orthopedics/Radiology/Interventional...

Job DescriptionUnder the general supervision of the Clinic Head primarily welcomes patients/clients and assists the Hearing Care Specialist in giving better service to the clients/patients in conformity with the company's compliance and standards for Clinic Associates.Job Responsibilities:1. Welcomes patients and visitors through greetings in person or on...

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...

Job PurposeA Precertification Coordinator is responsible for obtaining prior authorizations on behalf of the provider's office for imaging services and surgeries. Job Duties and ResponsibilitiesPrioritize incoming authorization requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the...

Clinical Application Support:Provide technical support and training on clinical applications to end-users.Troubleshoot and resolve issues related to laboratory information systems and other clinical software.Training and Education:Conduct training sessions for medical technologists and other healthcare professionals on the use of clinical...

Qualifications5+ years of experience in clinical settings, clinical administrative services, and revenue cycle, of which a minimum of 2 years should be in an Assistant Manager and above role.Preferably with 5 years managing project and operational improvement efforts within RCM (Coding and Clinical Administrative Services including CDI).Deep expertise in...

Responsible for analyzing, designing, developing, implementing, and evaluating training solutions for business performance gaps based on business needs. Primary duties may include, but are not limited to: Conducts training needs analysis, designs, develops, implements, and evaluates effectiveness of learning solutions; Facilitates knowledge transfer...