Clinical Nurse Auditor
4 months ago
Key Responsibilities
Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client
Review medical records to validate what authorization is required
Utilize Savista’s client’s host system to document case and updated account statuses when applicable
Utilize state or payor portal to check authorization statuses
Education: Bachelor's Degree in Nursing
License / Certification: PH Registered Nurse
Experience: Clinical authorizations, medical records and customer service
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Senior Clinical Nurse Auditor Specialist
1 month ago
Pasig, National Capital Region, Philippines Visaya KPO Full timeJob Title: Senior Clinical Nurse Auditor SpecialistWe are seeking a highly skilled Senior Clinical Nurse Auditor Specialist to join our team at Visaya KPO.About the RoleIn this critical role, you will work closely with our Eligibility Enrollment Specialist to obtain referrals from Savista's client. Your expertise in medical records and authorization...
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Clinical Nurse Auditor
4 months ago
Pasig, Philippines Visaya KPO Full timeKey Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization...
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Clinical Nurse Auditor
2 months ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Full time"Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize the state or payor portal to check authorization statuses" ...
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Clinical Nurse Auditor
2 months ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Full time"Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize the state or payor portal to check authorization...
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Clinical Nurse Auditor
4 months ago
Pasig City, Philippines Visaya KPO Full timeKey Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization statusesEducation:...
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Clinical Nurse Auditor
2 months ago
Pasig City, Philippines Visaya Knowledge Process Outsourcing Full time"Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize the state or payor portal to check authorization statuses"...
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Clinical Auditor Specialist
1 month ago
Cebu and Pasig, Philippines Solid Lyndelle Manpower Services Inc. Full timeClinical Audit Expert Job OpportunityAt Solid Lyndelle Manpower Services Inc., we are seeking a skilled Clinical Auditor to join our team. This role involves performing regular audits of clinical practices, patient records, and healthcare processes.Responsibilities:Conduct thorough audits to ensure compliance with regulatory requirements and identify areas...
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Clinical Auditor
5 months ago
Pasig, Philippines Gratitude Philippines Full timeJob DescriptionResponsibilities:Perform regular audits of clinical practices, patient records, and healthcare processes.Analyze audit findings and data to identify trends, patterns, and areas of risk.Monitor the effectiveness of implemented changes and provide ongoing support.Ensure that the organization complies with all relevant regulatory...
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Clinical Auditor
5 months ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeJob Description Responsibilities: Perform regular audits of clinical practices, patient records, and healthcare processes. Analyze audit findings and data to identify trends, patterns, and areas of risk. Monitor the effectiveness of implemented changes and provide ongoing support. Ensure that the organization complies with all relevant regulatory...
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Clinical Auditor
5 months ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeJob Description Responsibilities: Perform regular audits of clinical practices, patient records, and healthcare processes. Analyze audit findings and data to identify trends, patterns, and areas of risk. Monitor the effectiveness of implemented changes and provide ongoing support. Ensure that the organization complies with all relevant regulatory...
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Clinical Operations Specialist
4 weeks ago
Pasig, National Capital Region, Philippines Solid Lyndelle Manpower Services Inc. Full time**Job Overview**Solid Lyndelle Manpower Services Inc. is seeking an experienced Clinical Operations Specialist to join our team.About the Role:We are looking for a highly skilled Clinical Operations Specialist to work on-site, Monday to Friday. As a Clinical Operations Specialist, you will be responsible for performing regular audits of clinical practices,...
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Healthcare Authorization Specialist
4 weeks ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full timeJob Title: Healthcare Authorization SpecialistAbout the Job:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our authorization team, you will be responsible for working closely with our Eligibility Enrollment Specialists to obtain referrals from clients, reviewing medical records to...
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Healthcare Authorization Specialist
1 month ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full timeVisaya Knowledge Process Outsourcing is seeking a skilled Clinical Nurse Auditor to join our team. This role involves working closely with the Eligibility Enrollment Specialist to secure referrals from Savista's clients.The ideal candidate will have a strong understanding of clinical authorizations, medical records, and customer service skills. A Bachelor's...
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Clinical Review Specialist
1 month ago
Cebu and Pasig, Philippines Gratitude Philippines Full timeJob Title: Clinical Review SpecialistWe are seeking a skilled and detail-oriented Clinical Review Specialist to join our team at Gratitude Philippines. Salary: $60,000 - $80,000 per annum, depending on experience.About the Role:This is an exciting opportunity for a Registered Nurse with CIC/CCS certification to work as a Clinical Review Specialist. The...
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Healthcare Compliance Specialist
2 months ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full timeJob DescriptionWe are seeking a skilled and detail-oriented Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare compliance team, you will play a critical role in ensuring the accuracy and integrity of medical records.Key Responsibilities:Collaborate with Eligibility Enrollment Specialists to...
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Occupational Health Nurse
5 months ago
Pasig City, Philippines J-K Network Services Full timeA well-known Finance company that is owned by a Japanese. It was built since 1954. they provide guarantee services to your personal and housing loans, credits and helps consumers to their medium to long term business strategies. Position: Occupational Health Nurse (Weekend Off, Dayshift) Salary: Php25,000 Industry: Financial Company Location: Pasig...
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Occupational Health Nurse
5 months ago
Pasig City, Philippines J-K Network Services Full timeA well-known Finance company that is owned by a Japanese. It was built since 1954. they provide guarantee services to your personal and housing loans, credits and helps consumers to their medium to long term business strategies. Position: Occupational Health Nurse (Weekend Off, Dayshift) Salary: Php25,000 Industry: Financial Company Location: Pasig...
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Occupational Health Professional Wanted
1 month ago
Pasig, National Capital Region, Philippines J-K Network Services Full timeA well-established financial company in Pasig City is seeking an Occupational Health Nurse to join their team. The successful candidate will work on-site, ensuring the health and wellbeing of employees.Key Responsibilities:Promoting and maintaining a healthy work environmentClinic management and administrationProviding first aid treatment and professional...
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Pasig, Philippines Metacom Full time• Promptly answers, screens, and processes medical service requests and telephone inquiries with strict adherence to confidentiality agreements and policies and procedures. • Ability to speak clearly in order to communicate effectively between patient and provider, provide pre-visit instructions/directions, and relay provider instructions. • Facilitate...
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Pasig, Philippines Metacom Full time• Promptly answers, screens, and processes medical service requests and telephone inquiries with strict adherence to confidentiality agreements and policies and procedures. • Ability to speak clearly in order to communicate effectively between patient and provider, provide pre-visit instructions/directions, and relay provider instructions. • Facilitate...