Nurse (BPO)

Access Healthcare Services Manila, Inc. is a leading healthcare provider seeking a skilled Registered Nurse to assume a critical role in our team.The successful candidate will be responsible for managing medical denials by conducting comprehensive reviews of clinical documentation.Key Responsibilities:Handle audit and compliance responsibilities.Write...

About the Job:We are looking for a dedicated PH Registered Nurse to fill the role of Medical Service Coordinator.Key Responsibilities:Coordinating the execution and continued quality of the client's department processes.Telephonic online authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing...

Operations Director – PHRN/USRN (Healthcare BPO)Location: Ortigas (Onsite)Shift: Graveyard Shift (Must be amenable)Salary: PHP 200,000 - 300,000 (Depending on Last Pay)Job Summary:We are seeking an experienced Operations Director with a strong background in both clinical healthcare and healthcare BPO operations. The ideal candidate will have proven...

About us:Here at Wonders we build products that empower small brick and mortar restaurants by liberating them of the operational burden of running their business. We accomplish this by providing a frictionless connection between them and their customers through our platform. In-turn empowering them to focus on creating a better experience for their customers...

Sourcing Specialist at Access Healthcare ServicesAccess Healthcare is looking for a Registered Nurse to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, and processing surgery authorizations as needed.Qualifications:Registered Nurse with Active license.BPO...

US Registered Nurse/ USRN (Permanent WFH)DME Service SolutionsNegotiableHybrid - Manila 1-3 Yrs Exp Bachelor Full-timeJob DescriptionDescriptionAbout DME:We are DME, a healthcare BPO leader delivering customized, HIPAA-compliant workforce solutions that enhance productivity and customer experiences. Driven by our core values, we help companies across...

Position Summary:Responsible for executing the required duties of an Occupational Health Nurse in the company, working together with the Corporate Company Physician in clinic management, wellness programs, health risk assessment, promotion, surveillance, and medical management of all employees and stakeholders of the company.Essential Duties and...

Cobden & Carter International: A Leader in Patient-Centered CareWe are seeking a highly skilled Utilization Review Registered Nurse to join our team in delivering exceptional patient care. As a key member of our team, you will be responsible for conducting initial admission and continued stay reviews utilizing InterQual and MCG to identify and support the...

ABOUT AGS HEALTHWe are an analytics-driven, technology-enabled revenue cycle management company.JOB SUMMARYThis Clinical Authorization Nurse role will be responsible for reviewing and authorizing patient services and claims to ensure accuracy and compliance with regulatory requirements.KEY RESPONSIBILITIESHolds active PHRN license and has at least 6 months...

About UsWe are a leading provider of revenue cycle management solutions.Job DescriptionThis position involves reviewing medical records and authorizing services to ensure they meet specific criteria.RequirementsPHRN licensure is required. At least 6 months of experience as a Clinical Authorization Nurse in a BPO healthcare setting is also necessary.A...

US Registered Nurse/ USRN (Permanent WFH)DME Service SolutionsNegotiableHybrid - Manila 1-3 Yrs Exp Bachelor Full-timeAbout DME Service SolutionsWe are a healthcare BPO leader dedicated to delivering customized workforce solutions that enhance productivity and customer experiences.Our mission is to provide innovative solutions for our clients, helping them...

Job Description:Sourcing Specialists at Access Healthcare Services are responsible for ensuring the timely completion of assigned patient cases.Key responsibilities include performing advanced level work related to clinical denial and utilization management, managing medical denials by conducting comprehensive reviews of clinical documentation, handling...

Access Healthcare Services Manila, Inc. is looking for a skilled Registered Nurse to assume a critical role in our team.The ideal candidate will be responsible for ensuring the completion of assigned patient cases by performing advanced level work related to clinical denial and utilization management.Key Responsibilities:Manage medical denials by conducting...

About Our Team:We are a dynamic team at Shearwater Health, and we are looking for a talented PH Registered Nurse to join us as a Nursing Team Leader.Key Responsibilities:Responsible for coordinating the execution and continued quality of the client's department processes.Perform assigned duties including telephonic online authorization of routine services,...

Access Healthcare Services Manila, Inc. is a leading provider of healthcare solutions, seeking highly motivated and detail-oriented individuals to join our team as Prior Authorization Coordinators. This role is ideal for fresh graduates with a Medical Allied degree who possess excellent communication skills and are eager to build their careers in a BPO...

Job Description:We are seeking a highly skilled PH Registered Nurses to join our team as Clinical Care Coordinators.About the Role:Coordinate the execution and continued quality of the client's department processes.Perform assigned duties including telephonic online authorization of routine services, contacting specialty care providers, monitoring patient...

Job Details:We are seeking a highly motivated PH Registered Nurse to fill the role of Healthcare Process Manager.About the Position:Responsible for coordinating the execution and continued quality of the client's department processes.Perform assigned duties including telephonic online authorization of routine services, contacting specialty care providers,...

Global Group Innovative Services, Inc. is seeking highly skilled medical allied professionals and healthcare customer service representatives to join our team.MEDICAL ALLIED QUALIFICATIONS:We are looking for graduates of any allied sciences, social sciences, or related fields with a minimum of 1 year experience in direct patient care. This includes...

About the Role:As a key member of our team at Cognizant, you will play a vital role in ensuring the smooth processing of medical claims. Your primary responsibility will be to review and analyze medical bills, identifying any discrepancies or issues that may impact reimbursement.Your Key Responsibilities:Analyze and process medical claims, ensuring accuracy...

About the Job:Cognizant is seeking a Claims Processing Executive to join our team in Cebu. As a Claims Processing Executive, you will be responsible for reviewing and analyzing medical claims, identifying any discrepancies or issues that may impact reimbursement.Your Key Duties:Analyze and process medical claims, ensuring accuracy and compliance with...