Clinical Nurse Auditor Specialist

Key ResponsibilitiesCollaborates with the Eligibility Enrollment Specialist to obtain referrals from Savista's clients.Reviews medical records to validate the required authorization.Utilizes Savista's client's host system to document case and updated account statuses when applicable.Checks authorization statuses through state or payor portals.Education:...

Job Description:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya KPO. In this role, you will work closely with the Eligibility Enrollment Specialist to obtain referrals from our clients and review medical records to validate authorization requirements.You will utilize Savista's client host system to document case and updated account...

Job 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...

We are seeking a highly skilled Clinical Auditor to join our team at Gratitude Philippines.About the RoleThis is a key position that will involve regular audits of clinical practices, patient records, and healthcare processes to ensure compliance with regulatory requirements. The ideal candidate will have strong analytical skills and be able to identify...

Job Title:AR Complex Clinical Denials SpecialistJob Description:Role Summary: We are seeking a highly skilled Clinical Denials and Appeals Specialist to join our team at Visaya KPO. As a key member of our Accounts Receivable department, you will be responsible for researching and resolving complex clinical denials, ensuring timely payments and maintaining...

Job Title: Corporate Occupational Health SpecialistAbout J-K Network Services: A well-established Finance company with a rich history dating back to 1954.Role Overview: As a key member of our team, you will be responsible for promoting and ensuring the health and wellbeing of employees. Your role will involve managing our on-site clinic, providing first aid...

Job Title: AR Complex Clinical Denials SpecialistAt Visaya KPO, we are seeking a highly skilled and experienced AR Complex Clinical Denials Specialist to join our team.Key Responsibilities:Verify and obtain eligibility and/or authorization using payer websites, client eligibility systems, or via phone with insurance carriers/providers.Update patient...

Quality Assurance Nurse Job DescriptionWe are seeking a detail-oriented Quality Assurance Nurse to ensure our healthcare services meet the highest standards of quality and patient safety.Key Responsibilities:Conduct regular reviews and audits of patient care records to assess compliance with established healthcare standards and protocols.Identify areas of...

At Solid Lyndelle Manpower Services Inc., we're seeking a highly skilled Healthcare Compliance Specialist to join our team. This role is perfect for a registered nurse with CIC/CCS certification and prior auditing/DRG experience, who's passionate about ensuring the highest standards of patient care.The ideal candidate will have extensive knowledge of US...

Job SummaryManpower Core Group Inc. is seeking a dedicated Quality Assurance Nurse to play a critical role in ensuring the highest standards of quality and patient safety in our healthcare services. As a Quality Assurance Nurse, you will be responsible for monitoring and improving the quality of care provided by our organization.Key Responsibilities:Conduct...

Job Title: Occupational Health NurseAt J-K Network Services, we are seeking a highly skilled and experienced Occupational Health Nurse to join our team. As an Occupational Health Nurse, you will play a vital role in promoting and ensuring the health and well-being of our employees.Key Responsibilities:Promote and ensure the health and well-being of...

Job RequirementsQualification: Must be a College Graduate of Nursing CourseLicense: Have an Active PRC LicenseExperience: At Least 1 year experience in Bed Side LocationLocation: Bridgetown Pasig CityJob Type: Full-timeWork Hours: FlexibleSalary: CompetitiveBenefits: Medical, Dental, Vision, and 401(k) matchingHow to Apply: Please submit your resume and...

Job OverviewWe are seeking an experienced Clinical Denials Specialist to join our team at Visaya KPO. The successful candidate will be responsible for managing medical collections and denials, ensuring timely payments and resolving claims efficiently.About the RoleThis is a full-time position based in Ortigas, Pasig City, with opportunities for career growth...

Job Title: Occupational Health NurseCompany: J-K Network ServicesJob Type: Full-timeIndustry: FinancialLocation: Pasig CityWe are seeking a skilled Occupational Health Nurse to join our team at J-K Network Services, a well-established Finance company in Pasig City. As an Occupational Health Nurse, you will be responsible for promoting and ensuring the health...

Job Title: Medical Insurance Recovery RepresentativeThe Medical Insurance Recovery Representative at Visaya KPO plays a crucial role in the timely collection of outstanding government or commercial healthcare insurance receivables.Responsibilities:Verify patient eligibility and/or authorization for healthcare services by searching payer web sites or client...

About the Role:J&T Express Inc. is seeking a skilled Healthcare Services Specialist to join our team. As a Healthcare Services Specialist, you will be responsible for providing basic healthcare services to our employees, including administering first aid and evaluating overall health.Key Responsibilities:Administer first aid and provide basic healthcare...

ROLE OVERVIEWWe are currently seeking experienced nurses who are interested in joining our operations team. In this role, you will be responsible for staffing emergency access telephone lines in our operations centers to respond to client health events and other emergencies. Additionally, the role also includes international deployments to support medical...

IT Governance SpecialistWe are seeking a highly skilled IT Governance Specialist to join our team at JK Network Services. The successful candidate will be responsible for evaluating IT governance to ensure adequate management oversight is in place. This includes safeguarding internal controls and data, examining internal IT controls, and planning and...

As an Occupational Health Specialist at WHR Global Consulting, you will play a vital role in ensuring the health and well-being of employees. Your primary responsibility will be to provide medical care and support to employees, ensuring a safe and healthy work environment.The ideal candidate will have a Bachelor's Degree in Nursing and be a Registered Nurse...

Be a Part of Our Team: Medical Assistant - Patient Care SpecialistJob Summary: We are seeking a highly skilled Medical Assistant - Patient Care Specialist to join our team. As a Medical Assistant, you will be responsible for providing exceptional patient care and support to our medical providers.Key Responsibilities:Accompany and assist medical providers...