Quality Assurance Specialist in medical coding

The Training Specialist is responsible for developing, implementing and evaluating Shearwater Health training activities. Plans, assesses, organizes, coordinates, conducts and evaluates all SWH training programs and activities. These include New Hire Training, Compliance Trainings, Refresher Courses, Specialty Trainings, Continuing Educations,...

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.

the primary role of a Team Lead in Operations is to manage an assigned team of individual contributors in meeting or exceedin g customer service level agreement, completion of team projects, adherence to operating standards and enforcement of company polici es through effective people development, team engagement and performance management capabilities.

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 .

As a Customer Service Specialist, you are responsible for providing outstanding service to our customers by providing timely resolutions to their queries. You will correspond with your customers through inbound/outbound calls regarding transactions on their accounts such as fraud investigation, payments, loans, charges/fees, interest rates, rewards and other...

Provide high-quality customer service to the customer and ensure a smooth flow of inquiries and complaints via phone calls.Ensure all responses to customers and clients are given with sincerity and compassion.Ensure that all customer inquiries are rightfully attended to on a timely basis.Resolve queries from the customer by answering calls within the...

DELTA CONCRETE CORPORATION is a company engaged in the production and sale of best quality ready-mix concrete for local consumption catering to the concrete needs of the Philippine construction industry. Since its inception in October 12, 2001, the company has grown to become one of the recognized leaders in ready mix concrete production it is today. The...

Provide high-quality customer service to the customer and ensure a smooth flow of inquiries and complaints via phone calls.Ensure all responses to customers and clients are given with sincerity and compassion.Ensure that all customer inquiries are rightfully attended to on a timely basis.Resolve queries from the customer by answering calls within the...

DELTA CONCRETE CORPORATION is a company engaged in the production and sale of best quality ready-mix concrete for local consumption catering to the concrete needs of the Philippine construction industry. Since its inception in October 12, 2001, the company has grown to become one of the recognized leaders in ready mix concrete production it is today. The...

Essential Responsibilities: I. PLANNING • Lead Education, Health, Sponsorship, DRR, Income Generation, Social Enterprise and TechVoc staff assigned at San Isidro (SI) and Southville (SV) Community Development Project areas. • Review and finalize the GNIP POA for 2023 budget together with the area department staff. • Communicate to the country office...

Essential Responsibilities: I. PLANNING • Lead Education, Health, Sponsorship, DRR, Income Generation, Social Enterprise and TechVoc staff assigned at San Isidro (SI) and Southville (SV) Community Development Project areas. • Review and finalize the GNIP POA for 2023 budget together with the area department staff. • Communicate to the country office...