Clinical Appeals USRN

Temporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions apply Non-negotiable Qualifications: Must have an active PHRN/USRN license Must have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs) Knowledgeable in medical terminology, anatomy, and physiology With...

Temporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions apply Non-negotiable Qualifications: Must have an active PHRN/USRN license Must have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs) Knowledgeable in medical terminology, anatomy, and physiology With...

Temporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions applyNon-negotiable Qualifications:Must have an active PHRN/USRN licenseMust have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs)Knowledgeable in medical terminology, anatomy, and physiologyWith...

As a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...

As a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...

As a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...

As a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...

We are in need of USRN Team LeaderWork Location: OrtigasQUALIFICATIONS:at least 1 year of US Healthcare experience in utilization management reviewUSRN license and BPO healthcare UMR and clinical appeals with clinical hospital experienceany USRN state licensure is fine as long as the license is activeCan work onsite in Ortigas, PasigSALARY: Up to 75k...

TASQ Staffing Solutions is looking for a Clinical Appeals PHRN - Quality Analyst in Pasig. License/Certification Requirement: PHRN Work Arrangement: Temp WFH, hybrid or onsite Training: Temporary WFH Qualifications -Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post...

TASQ Staffing Solutions is looking for a Clinical Appeals PHRN - Quality Analyst in Pasig.License/Certification Requirement: PHRNWork Arrangement: Temp WFH, hybrid or onsiteTraining: Temporary WFHQualifications-Clinical Appeals QA: 1 year (Required)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pre/post service...

"Experience: Clinical Appeals QA: 1 year (Required) Knowledgeable in medical terminology, anatomy, and physiology With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews. Understanding of healthcare regulations and compliance"SALARY PACKAGE 42, ,000

License: PHRN Experience: - Clinical Appeals in BPO or hospital setting (utilization review acceptable) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews. - Understanding of healthcare regulations...

License: PHRN Experience: - Clinical Appeals in BPO or hospital setting (utilization review acceptable) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews. - Understanding of healthcare regulations...

License: PHRNExperience: - Clinical Appeals in BPO or hospital setting (utilization review acceptable)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews.- Understanding of healthcare regulations and...

Responsibilities:- Perform screening/identification and assessment of patients in need of case management services.- Expected to integrate key elements and development and coordinate a successful transition to care plan- Provide the following services: education, care coordination, compliance, transition management, utilization management.Qualifications:-...

Responsibilities:> Perform screening/identification and assessment of patients in need of case management services.> Expected to integrate key elements and development and coordinate a successful transition to care plan> Provide the following services: education, care coordination, compliance, transition management, utilization management.Qualifications:>...

Responsibilities: > Perform screening/identification and assessment of patients in need of case management services. > Expected to integrate key elements and development and coordinate a successful transition to care plan > Provide the following services: education, care coordination, compliance, transition management, utilization...

Responsibilities: - Perform screening/identification and assessment of patients in need of case management services. - Expected to integrate key elements and development and coordinate a successful transition to care plan - Provide the following services: education, care coordination, compliance, transition management, utilization...

Responsibilities: > Perform screening/identification and assessment of patients in need of case management services. > Expected to integrate key elements and development and coordinate a successful transition to care plan > Provide the following services: education, care coordination, compliance, transition management, utilization...

Responsibilities: - Perform screening/identification and assessment of patients in need of case management services. - Expected to integrate key elements and development and coordinate a successful transition to care plan - Provide the following services: education, care coordination, compliance, transition management, utilization...