
Allied Healthcare Specialist
4 weeks ago
Responsibilities
- Conduct in-depth utilization reviews to ensure medical necessity and appropriate care
- Assess eligibility and validity of medical claims with accuracy and compliance
- Collaborate with healthcare providers to coordinate patient care plans and discharge processes
- Communicate results and next steps to patients regarding claims and coverage
- Analyze clinical data to improve patient care quality and operational efficiency
- Graduate of Allied Sciences, Social Work, Psychology, Human Services, or similar (e.g., PT, MedTech, Nutrition, Pharmacy, RadTech)
- With at least 1 year of direct patient care experience – in long-term care, hospitals, case management, or community-based healthcare
- Familiar with BPO healthcare processes , Medicare/Medicaid , and managed care organizations
- HIV counselling experience required
- Active PRC License required
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Allied Healthcare Professionals
1 week ago
Quezon City, National Capital Region, Philippines Methealth International Full time ₱900,000 - ₱1,200,000 per yearPrimary duties may include, but are not limited to (training provided):• Review and evaluate clinical documentation to ensure compliance with healthcare standards.• Assist in pre-authorization, claims review, and utilization management activities.• Provide clinical input or clarification where needed.• Maintain confidentiality and comply with HIPAA...
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Allied Care Coach
4 weeks ago
Quezon City, Philippines NEKSJOB Full timeAn Allied Care Coach provides support and guidance to individuals within the healthcare field, often assisting with patient care coordination, health management, and navigating the healthcare system. They may work with patients, families, or other healthcare professionals to optimize health outcomes and promote well-being. Care Coaches work with patients to...
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Allied Care Coach
3 weeks ago
Quezon City, Philippines NEKSJOB Full timeAn Allied Care Coach provides support and guidance to individuals within the healthcare field, often assisting with patient care coordination, health management, and navigating the healthcare system. They may work with patients, families, or other healthcare professionals to optimize health outcomes and promote well-being. Care Coaches work with patients to...
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Medical Allied Graduates| Healthcare BPO
4 weeks ago
Cebu City, Philippines HR TechX Corp. Full timeAbout the Role:Join our growing healthcare team and play a vital role in providing quality service to clients and patients. This position is ideal for medical allied graduates who are eager to start or grow their careers in a professional healthcare support environment.Qualifications:Education: Medical Allied Graduate (e.g., Nursing, Pharmacy, Medical...
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Product Specialist
7 days ago
Cebu City, Philippines Getz Healthcare Full timeJoin to apply for the Product Specialist - Surgical Specialty role at Getz Healthcare The position is primarily responsible for demand creation for the achievement of territory sales objectives, territory management, relationship building with customers, business development, programs implementation, compliance with company policies and procedures/standard...
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Credentialing -HealthCare
5 days ago
Cebu City, Philippines Elevate Calls Inc. Full timeOverview Elevate Calls Inc. is seeking a Credentialing Specialist with experience in Maryland healthcare credentialing to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be essential in ensuring compliance with state and federal...
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Healthcare Representative
2 weeks ago
Cebu City, Philippines HRTX Full timeOverview Join our growing healthcare team and play a vital role in providing quality service to clients and patients. This position is ideal for medical allied graduates who are eager to start or grow their careers in a professional healthcare support environment. Qualifications Education: Medical Allied Graduate (e.g., Nursing, Pharmacy, Medical Technology,...
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Cebu City, Central Visayas, Philippines Stark Asia Solutions, Inc Full time ₱180,000 - ₱260,000 per yearMedical Allied Graduates – Start Your Healthcare Career (Cebu IT Park)Location: Cebu IT Park (Work Onsite)Schedule: Night Shift | Fixed Weekends OffSalary Package: ₱20,600 + Competitive BenefitsQualifications:Graduate of any Medical Allied Course (BSN, MedTech, Pharmacy, PT, RadTech, Psych, etc.)With or without work experience (Fresh graduates and board...
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Healthcare Recruiter
2 weeks ago
Makati City, National Capital Region, Philippines Pride Global Full time ₱1,200,000 - ₱2,400,000 per yearPride Health network is a leading provider of diverse human resources solutions, specializing in managed services, vendor management, payroll programs, business process optimization, and staffing solutions for both direct hire and contingent labor. We are looking for a skilled US Clinical Recruiter to join our tea...
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Healthcare Associates
4 weeks ago
Cebu City, Philippines Stark Asia Solutions Inc. Full timeOn-site - Cebu No Exp Required Bachelor Full-time Job Description We are looking for Healthcare Associates to join our growing team in the healthcare industry. This role is open to medical allied course graduates, including Nursing graduates, with or without prior work experience or license . You will handle healthcare-related inquiries, provide accurate...