Clinical Nurse Specialist with Advanced BPO Experience

Job SummaryWe are seeking an experienced Advanced Clinical Nurse Specialist to join our team at Gratitude Philippines. In this role, you will utilize your expertise in utilization management review and clinical appeals and denials handling for healthcare insurance/ UMRS.About the RoleThis is a full-time position that requires flexible shifts, with a...

Job Title: Clinical Nurse Specialist - Accidental ClaimsAbout the Role: We are seeking a highly skilled Clinical Nurse Specialist to join our team at TASQ Staffing Solutions. As a key member of our staff, you will be responsible for handling accidental claims with exceptional attention to detail and organizational skills.Job Responsibilities: Your primary...

OverviewThe Manpower Core Group Inc. seeks a skilled Clinical Telephonic Nurse Specialist to provide exceptional patient care and support via telephone assessments, health advice, and referrals.Key Responsibilities:Performing intake of phone calls from injured employees to provide timely and effective assistance.Conducting telephonic health assessments,...

Tasq Staffing Solutions is hiring a Inpatient Medical Coder to join our team. This role is perfect for individuals with experience in clinical, BPO, or CPO set-ups who are passionate about medical coding and have excellent communication skills.The ideal candidate will possess a Bachelor's degree in Nursing or a related field and be certified as a Certified...

Job Title: BPO Utilization ReviewerSummary:The Clinical Review Nurse position is responsible for assessing the medical appropriateness of proposed treatments and medications for our injured employees. This role partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim, while maintaining a solid understanding of...

About TASQ Staffing SolutionsTASQ Staffing Solutions is a leading staffing agency that provides top talent to various industries. As a clinical claims specialist, you will be part of our esteemed team.Salary:$50,000 - $70,000 per year (dependent on experience)Job DescriptionWe are seeking an experienced Senior Clinical Claims Specialist to join our team at...

Job Title: Clinical Excellence SpecialistJob Summary:We are seeking a Clinical Excellence Specialist to join our team at Gratitude Philippines. The successful candidate will be responsible for carrying out quality assurance oversight activities, conducting regular reviews of managed care internal and external claim files, and analyzing quality assurance...

At Gratitude Philippines, we are committed to providing exceptional care to our clients. We are seeking a highly skilled Clinical Nurse Case Manager to join our team.Job SummaryWe are looking for a seasoned nurse with experience in case management to coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care. As a...

At Manpower Core Group Inc., we are seeking a highly skilled Telephonic Nurse Specialist to join our team.About the RoleThe Telephonic Nurse Specialist will play a crucial role in providing safe and effective telephone assessments, patient care instructions, and directions to the appropriate level of care. This position requires strong clinical expertise,...

Job Title: Telephonic NurseJob Summary:We are seeking a skilled Telephonic Nurse to join our team at Manpower Core Group Inc. The successful candidate will be responsible for providing safe and effective telephone assessments, patient care instructions, and directions to the appropriate level of care.Key Responsibilities:Perform intake of phone calls from...

Job Overview">We are seeking a skilled Medical Coding Specialist to join our team at Tasq Staffing Solutions. As a Medical Coding Specialist, you will play a vital role in ensuring accurate and efficient coding of patient data.About the Role">This is a fantastic opportunity for an experienced medical coder to work onsite at Taguig. The ideal candidate will...

Job Title: Clinical Coding SpecialistAbout the Role:We are seeking a skilled Clinical Coding Specialist to join our team at TASQ Staffing Solutions.Key Responsibilities:The successful candidate will be responsible for performing accurate and timely coding of patient records, ensuring compliance with industry standards and regulations.Requirements:To be...

Gratitude Philippines is seeking a highly skilled and experienced Triage Nurse Specialist to join our team. As a key member of our healthcare staff, you will be responsible for providing exceptional telephone assessments and patient care instructions to injured employees.About the RoleThe successful candidate will have a Bachelor's degree in nursing (BSN)...

Job DescriptionOverviewThe Telehealth Nurse Specialist is responsible for providing safe and effective patient care through telephone assessments, health instructions, and directions to the appropriate level of care. Responsibilities include performing intake of phone calls, completing telephonic health assessments, and rendering health care advice using...

At TASQ Staffing Solutions, we are committed to providing exceptional staffing solutions to our clients. As a Senior Clinical Coding Specialist, you will play a critical role in ensuring the accuracy and quality of medical coding services.Job OverviewWe are seeking a highly skilled and experienced Medical Risk Adjustment Consultant to join our team. In this...

Job DescriptionGratitude Philippines is seeking a highly skilled Senior Quality Assurance Specialist to join our team. This role will be responsible for ensuring the highest standards of quality in our clinical services.About the RoleWe are looking for a dedicated professional with strong clinical expertise and a passion for quality assurance. As a Senior...

Requirements:Bachelor's degree in Nursing or Medical-related courseRecent medical coding experience in clinical/BPO/CPO set-upActive Certified Coding Specialist (CCS) or Certified Documentation Integrity Practitioner (CDIP)Experienced CDI Specialist also welcome to applyEssential Skills:Excellent communication and interpersonal skillsStrong organizational...

We are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Gratitude Philippines. This role is responsible for conducting thorough reviews of medical records to ensure compliance with regulatory requirements and company standards.Key Responsibilities:Conduct clinical reviews of medical records to determine medical necessity...

Job Title: Clinical Utilization Review SpecialistAbout the Role:Gratitude Philippines is seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a key member of our Utilization Review team, you will be responsible for reviewing treatment authorization requests based on state guidelines and medical necessity.Key...

We are RecruiterPH, a leading recruitment agency in the Philippines, and we are seeking a highly skilled Trainer/Training Specialist to join our team. As a Trainer/Training Specialist, you will play a critical role in ensuring that our trainees receive high-quality training and assessments.About the RoleThe ideal candidate will have a graduate/postgraduate...