Clinical Bill Review Specialist

Opportunity OverviewWe are seeking a skilled Certified Medical Coder to join our team. As a member of our team, you will be responsible for conducting clinical reviews of medical records, managing workload, documenting review findings, and interfacing with clients.Key Job DutiesConduct clinical reviews of medical records and supporting documentation to...

Job Summary:At Omega Healthcare Management Services Inc., we are seeking a highly skilled Clinical Appeals Specialist to join our team. As a key member of our appeals team, you will be responsible for reviewing denied insurance claims and determining the validity of denials.The successful candidate will have experience in clinical nursing or case management,...

About the Role:This is an exciting opportunity for a Registered Nurse to join our team at Access Healthcare Services and contribute to the efficient management of patient care.The successful candidate will be responsible for performing advanced level work related to clinical denial and utilization management, including managing medical denials, handling...

Job Title: Clinical Documentation SpecialistThe Theoria Medical Quality Department is seeking a skilled Clinical Documentation Specialist to support its billing department by accurately reviewing, assigning, and verifying medical codes for various patient services.Responsibilities:Review and analyze medical records and documentation to ensure accurate...

Job OverviewWe are seeking a highly skilled Clinical Reviewer to join our team at Private Advertiser. As a Clinical Reviewer, you will play a critical role in ensuring the quality and accuracy of clinical documentation.

About the RoleEXL Service Philippines, Inc. is seeking a highly skilled Medical Billing Auditor to join our team. As a key member of our Clinical Bill Review program, you will be responsible for managing and auditing medical bills and records.Key ResponsibilitiesValidate coding (ICD/PT/DRG) and apply fee schedules.Negotiate provider fees and leverage...

Company Benefits:Competitive SalaryHMO on day 1 with 2 Free DependentsGroup life insurancePTO CreditsAnnual AppraisalAnnual Performance BonusDuties and Responsibilities:The Charge Audit Specialist is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance...

We are looking for a skilled Pediatrics Clinic Billing Professional to join our team at Care Solutions and Outsourcing Corp.. In this role, you will be responsible for processing claims for a chain of pediatrics clinics in the USA. Your primary goal will be to ensure timely payments from insurance companies and investigate any denied...

Job Title: Clinical Coding and Compliance SpecialistWe are seeking a highly skilled Clinical Coding and Compliance Specialist to join our team at Harwood Global. This role offers the chance to utilize your expertise in medical coding and compliance to drive business excellence and growth.Key Responsibilities:Develop and implement clinical coding standards to...

Company Benefits:Competitive SalaryHMO with 2 Free DependentsGroup life insurancePTO CreditsAnnual AppraisalAnnual Performance BonusDuties and Responsibilities:The Billing Edit Resolution is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with...

MedGrocer's digitally-enabled wellness and population health programs, telehealth and medical services, and onsite medical staff work with hundreds of pharma companies and employers to improve the physical and mental health of over one million Filipinos every year.Here at MedGrocer, you will contribute to innovative healthcare solutions that enhance...

Job Description:We are looking for a skilled Inpatient Denials and UR Reviewer to join our team at Omega Healthcare Management Services Inc. The ideal candidate will have experience in reviewing denied claims and identifying root causes.The successful candidate will have a strong understanding of medical necessity and billing procedures, as well as...

**Job Overview**This role is ideal for a Registered Nurse with experience in clinical review and evaluation. The successful candidate will work closely with healthcare providers to ensure accurate and timely documentation of patient information.

The Billing Specialist is responsible for accurately preparing and processing invoices for clients based on contractual agreements. This role involves ensuring timely billing, resolving billing discrepancies, maintaining billing records and agreements, and providing support to internal and external clients. The Billing Specialist plays a critical role in...

Posted 7 days ago and deadline of application is on 30 Jan.Job DescriptionMedGrocer's digitally-enabled "medicine-as-a-service" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established...

Revenue Cycle Management Specialist (Remote)RemoteAbout Abby CareAt Abby Care, our mission is to redefine care for the most vulnerable populations.We are transforming home health through purpose-built, thoughtful technology and a unique care model.What makes us the home health provider of the 21st century:Digital health integrations - We leverage telehealth...

Stagwell Manila, National Capital Region, PhilippinesJoin or sign in to find your next jobJoin to apply for the Billing Specialist role at StagwellStagwell is seeking an efficient Billing Specialist who will assist our team in managing complete and accurate billing across client accounts. The Billing Specialist will be responsible for creating and sending...

**Job Overview:**InLife Health Care is seeking a skilled and experienced Clinic Management Supervisor to oversee the deployment of medical personnel, full clinic management services, and other medical facilities.The ideal candidate will possess excellent communication, negotiation, and stakeholder management skills, as well as proficiency in data analysis,...

At KMC Solutions, we are committed to delivering exceptional medical billing solutions that meet the highest standards of accuracy and compliance. We are seeking a detail-oriented and analytical Medical Billing Specialist to join our team. This role combines medical billing tasks with quality assurance and auditing to ensure timely processing and accurate...

Clinical Appeals Specialist (Registered Nurse)Our partner in the BPO industry is looking for Clinical Appeals Writers to help navigate the complexities of medical claim denials and ensure fair resolutions for patients and providers.100% Remote – Work from anywhereDay Shift Hours – Enjoy a consistent scheduleWhat You'll Do:Prepare and Submit Clinical...