Pre-Authorization Nurse

Requirements for the Medical Authorization Representative PositionAt least 1 year of experience in authorizations is requiredExperience working in a healthcare setting (hospital, medical/dental office, nursing facilities, etc.)Familiarity with Medicare, Medicaid, and Managed Care reimbursement guidelinesAbility to handle multiple priorities, pay attention to...

Come and join Skilled Wound Care where an exciting career awaits you Our company is looking for an experienced and motivated Authorizations Coordinator to join our Skilled Wound Care teamResponsibilities:Request for prior authorizations for services requested by MDRequest Authorizations for continuation of care for services being rendered by MDCommunicate...

The Case Manager Nurse will regularly liaise with multiple clinical specialties and doctors. This role also involves consistent interactions with insurance providers, patients and their families, legal delegates, and representatives from other medical care institutions. Additionally, they will often communicate with nursing staff, billing teams, medical...

Key responsibilities of a Dialysis Nurse (HD Nurse):Patient assessment:Performing thorough pre-dialysis assessments, including vital signs, medical history, and physical examination to identify potential complications.Dialysis treatment administration:Setting up and operating hemodialysis machines, monitoring patients closely during treatment, and making...

About the RoleRoxas Tabamo & Co. is looking for a talented Nurse/HR Staff to fill the position of Healthcare Assistant Manager.The successful candidate will be responsible for providing medical services, conducting medical exams, and maintaining employee records.This is an exceptional opportunity for a registered nurse to grow their career and develop strong...

Beneath the umbrella of Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.), we are seeking a skilled Pre-Authorization Nurse to join our team.Key Responsibilities:We require a highly skilled nurse who will be responsible for the pre-authorization of in-patient treatments and ensuring cost containment through efficient adjudication and...

ABOUT THE ROLEThe Company Nurse / HR Generalist is responsible for providing healthcare services to employees, ensuring the efficient operation of the company clinic and supporting the HR Department in various HR administrative tasks, operations and services.Health and Medical ServicesManages and monitors day-to-day operations of the company clinic, ensuring...

LIVAN TRADE CORPORATION - a Utility Construction Industry Pioneering Firm in TELECOM, WATER & EQUIPMENT Installation with Various Projects in Line with Open Trench, Drilling, Fiber Optic Installation, Underground Facilities and Utility Project - is in Need of :COMPANY NURSEQUALIFICATIONS :Serve as the Primary Medical Resources for the Company.Registered...

About the roleT ONE CHINA CONSTRUCTION THIRD BUREAU CORPORATION' is seeking a Company Nurse to join our team in Las Piñas City Metro ManilaWhat you'll be doingAdministering first aid and emergency careProviding medical assessments and triaging patientsMaintaining detailed medical records and documentationCoordinating with healthcare providers and local...

About the RoleWe are seeking a highly skilled Nurse and HR Generalist to join our team at Private Advertiser. This is a unique opportunity to combine your nursing expertise with administrative experience in a fast-paced environment.Key Responsibilities:Manage day-to-day operations of the company clinic, ensuring it is well-equipped and running...

Job summary:Looking for candidates available to work:Monday: MorningTuesday: MorningWednesday: MorningThursday: MorningFriday: Morning2-3 years of relevant work experience required for this roleWorking rights required for this roleImmediate start availableCompany Nurse (40934) - Lima Technology, Lipa BatangasQUALIFICATIONS:Registered NurseExperience in...

Job DescriptionWe are seeking a skilled Emergency Room Nurse to join our team at GLOBAL RESCUE PACIFIC LLC PHILIPPINES. As a key member of our operations center, you will be responsible for staffing emergency access telephone lines and responding to client health events.ResponsibilitiesStaff emergency and general access telephone lines in our operations...

Basic Qualifications:Bachelor's Degree in NursingActive PHRN licenseWith experience in handling Healthcare related accounts preferably voiceWith experience in reviewing medical recordsWith experience in using EHRs / EMRsKnowledge on DSM5, ASAMA and Utilization Review is an advantageAmenable to work for a voice accountAmenable to work in a night shift...

We are seeking detail-oriented individuals to join our team at Access Healthcare as a Medical Allied Graduate. This role is ideal for fresh graduates with excellent communication skills and a desire to build their careers in a BPO healthcare setting.Key Responsibilities:Review and process prior authorization requests from healthcare providers, ensuring...

Two Futures Inc is seeking an Aesthetic Nurse Specialist to join our team. As an Aesthetic Nurse, you will be responsible for providing top-notch skin care services and procedures using state-of-the-art Laser Machines.You will conduct consultative skin assessments, provide pre, actual, and post-care treatments, and perform selling of services, special...

Access Healthcare is looking for 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, work processing surgery authorizations, as needed.Responsibilities:Perform advanced level work related to clinical denial and utilization...

About UsWe are T ONE CHINA CONSTRUCTION THIRD BUREAU CORPORATION, a renowned construction company dedicated to excellence in all aspects of our business.Job DescriptionThis is an exceptional opportunity for a skilled Nurse to join our team as we continue to grow and expand our services.Key Responsibilities:Deliver top-notch medical care to employees,...

Overview:Omega Healthcare Management Services Inc. is seeking a highly skilled Appeals Nurse Specialist - Interqual Expert to join our team. The successful candidate will have experience in reviewing denied claims and determining the validity of denials.The ideal candidate will have a strong understanding of medical necessity and billing procedures, as well...

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...

About UsBillEase offers you the easiest way to afford what you want and need today. Our brand centers around making shopping and payment processes seamless and convenient. Our customers have diverse lifestyles and are looking to enhance their shopping experiences both online and offline. It's essential for us to embody the core of our brand name BillEase, a...