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Denials Process Consultant 3 yrs of experience in Denial Managemt
4 weeks ago
Denials Process Consultant
***At least 3 years of experience in Denial Management
• 5+ years of experience working with RCM hospitals and operations or clinical professionals
• 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement
• 5+ years of experience creating presentations demonstrating outcomes and presenting in-person or remotely to executive audiences
• 3+ years of experience in Healthcare Revenue Cycle including Denials Management and Payor Appeals
• 3+ years of experience working with Patient Financial Services, Business Office, Insurance claim billing, Collections, Reimbursement, Patient Access, Coding
• 3+ years of experience in denial prevention operations and/or process improvement methodologies
PHP 115,000 - PHP 150,000 Basic Salary + PHP 3,600 Allowance
QC, Makati, Muntinlupa
Night Shift; Weekends Off; Hybrid; Follows US Holidays
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Manila, Philippines BPO-services Full timeDenials Process Consultant***At least 3 years of experience in Denial Management• 5+ years of experience working with RCM hospitals and operations or clinical professionals• 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement • 5+ years of experience creating presentations demonstrating outcomes...
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manila, Philippines BPO-services Full timeDenials Process Consultant ***At least 3 years of experience in Denial Management • 5+ years of experience working with RCM hospitals and operations or clinical professionals • 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement • 5+ years of experience creating presentations demonstrating...
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Manila, National Capital Region, Philippines BPO-services Full timeDenials Process ConsultantRequirements: At least 3 years of experience in Denial Management 5+ years of experience working with RCM hospitals and operations or clinical professionals 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement 5+ years of experience creating presentations demonstrating...
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Manila, National Capital Region, Philippines BPO-services Full timeDenials Process ConsultantMinimum 3 years of experience in Denial Management 5+ years of experience collaborating with RCM hospitals and operations or clinical professionals 5+ years of experience analyzing substantial data sets to detect patterns, establish baselines, and monitor progress 5+ years of experience crafting presentations showcasing results and...
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Clinical Denial Lead
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Manila, National Capital Region, Philippines RSD Human Resource Management Consultancy Full timeThe 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 .
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Technical Denials Representative
2 days ago
Manila, National Capital Region, Philippines Tenet Global Business Center, Inc. Full timeJOB SUMMARYResponsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIESValidate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons....
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Technical Denials Representative
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Metro Manila, Philippines Tenet Global Business Center, Inc. Full timeJOB SUMMARYResponsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIESValidate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons....
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Clinical Denials Clinician
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Metro Manila, Philippines Tenet Global Business Center, Inc. Full timeSUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...
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Clinical Denials Clinician
5 days ago
Manila, National Capital Region, Philippines Tenet Global Business Center, Inc. Full timeSUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...
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Clinical Denial Specialist
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Manila, National Capital Region, Philippines RSD Human Resource Management Consultancy Full timeThe 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.
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Metro Manila, Philippines Access Healthcare Services Manila, Inc. Full timeAccesshealthcare 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.Qualifications :Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...
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Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeAccesshealthcare 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.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...
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Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeAccesshealthcare 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.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...
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Metro Manila, Philippines Access Healthcare Services Manila, Inc. Full timeAccesshealthcare 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.Qualifications : Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...
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Manila, National Capital Region, Philippines R.B Consultant Full timePosted: 10 days ago Openings: 10 Applicants: 103 Req.US Travel Sales ConsultantMin.1 Yr Exp.Must In Google Campaign callUS Flight ReservationNoida Sec 62Salary-50k+ Smart incentivesRotational ShiftsRotational OffTAC/o swati Skills highlighted with '' are preferred keyskills Req.US Travel Sales ConsultantMin.1 Yr Exp.Must In Google Campaign callUS Flight...
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Manila, Philippines Med Supply US Full time ₱25,000 - ₱30,000Medical Prior Authorization-Insurance Verification SpecialistPosition Summary:The Prior Authorization Specialist plays a crucial role in the healthcare industry by ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed. They work closely with healthcare...