Healthcare Certification Specialist

Theoria Medical OverviewTheoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Our team of talented individuals is passionate about delivering high-quality patient care and making a difference in healthcare delivery.We offer a range...

A career opportunity has arisen at Access Healthcare for a skilled Prior Authorization Specialist to join our team. In this role, you will be responsible for reviewing and processing prior authorization requests for medical procedures and treatments.Key Responsibilities:Review and process prior authorization requests from healthcare providers.Verify patient...

About the RoleWe are seeking a skilled Clinical Authorization Specialist to join our team at Omega Healthcare Management Services Inc.This role is ideal for individuals with a passion for delivering exceptional patient care and a strong understanding of healthcare regulations.

Job SummaryThe Credentialing Specialist plays a crucial role in ensuring timely processing of credentialing activities. Collaborating with the team, this specialist verifies healthcare providers' qualifications and certifications, guaranteeing they meet regulatory standards and requirements.Responsibilities:Credential Verification: Ensure healthcare...

JOB SUMMARYThe Credentialing Specialist works with the team to ensure all credentialing activities are processed in a timely manner. Calling healthcare providers, such as physicians, nurses, and allied healthcare professionals, meet all the necessary qualifications and credentials required to deliver healthcare services.JOB RESPONSIBILITIESCredential...

Seniority Level and Employment TypeThis is an executive-level position, and the successful candidate will be employed on a full-time basis.The ideal candidate will have a strong understanding of the healthcare industry and excellent leadership and communication skills. Previous experience in channel sales and sales management is also essential.Industry and...

Role OverviewWe are looking for an experienced Credentialing Specialist to join our team at ADEC INNOVATIONS HEALTHCARE, INC. The ideal candidate will have at least 1 year of experience in Healthcare BPO settings and a strong understanding of medical terminology and healthcare provider specialties.Responsibilities:Verify healthcare providers' credentials,...

About the Role:We are seeking a skilled Healthcare Utilization Specialist to join our dynamic team at UST. As a key member of our healthcare team, you will play a critical role in ensuring the highest quality patient care while promoting efficient resource utilization.We are looking for a registered nurse with current, unrestricted US licensure and at least...

Access Healthcare Services Manila, Inc. is a leading provider of healthcare solutions, seeking highly motivated and detail-oriented individuals to join our team as Prior Authorization Coordinators. This role is ideal for fresh graduates with a Medical Allied degree who possess excellent communication skills and are eager to build their careers in a BPO...

Job DescriptionThe Credentialing Specialist is a vital member of our team, responsible for ensuring all credentialing activities are processed efficiently. This includes verifying healthcare providers' qualifications and certifications, maintaining accurate records, and ensuring compliance with regulatory requirements.Responsibilities:Verify healthcare...

About the RoleWe are seeking a highly motivated and experienced Upskilling and Certification Specialist to join our team at IGT Solutions. The successful candidate will be responsible for developing and implementing training programs to enhance the skills and knowledge of V&A trainers and LCs.Responsibilities:Conduct workshops and training sessions to...

We are seeking a skilled Credentialing Specialist to support our operations at Theoria Medical.In this role, you will be responsible for maintaining licensure and other information for healthcare facilities, as well as onboarding new hires and managing equipment requests.We offer a competitive compensation package, including a salary range of P25,000.00 to...

Job SummaryWe are seeking a skilled Healthcare Utilization Specialist to join our team at Selectcare Philippines Inc.Main Responsibilities:Conduct daily utilization rounds with coordination from Utilization Management Assistants for timely chart reviews;Determine medically appropriate and cost-effective provider settings when necessary;Develop quality...

Omega Healthcare Management Services Inc. is committed to excellence in patient care and operational efficiency. As a valued member of our team, you will have the opportunity to grow professionally and make a meaningful impact in the healthcare industry.RequirementsA minimum of 3 years of experience in bedside nursing, preferably in Med-Surg, ICU, or ED...

About the Role:We are seeking an experienced Healthcare Account Specialist to join our team. In this role, you will provide excellent customer support by assisting patients, healthcare providers, and other stakeholders with inquiries related to healthcare services and products.Responsibilities:Respond to customer inquiries and resolve issues in a timely and...

About the Role:We are seeking a Clinical Operations Specialist to join our team at Access Healthcare Services.As a Clinical Operations Specialist, you will be responsible for managing medical denials, conducting comprehensive reviews of clinical documentation, and handling audit/compliance responsibilities.The ideal candidate will have a strong background in...

The Account Balance Resolution Specialist role at Access Healthcare Services Manila, Inc. involves reviewing and managing credit balances on patient accounts, investigating discrepancies, and resolving issues with insurance providers and internal teams.Duties and Responsibilities:Credit Balance Management: Manage credit balances on patient accounts, ensuring...

About Maxicare Healthcare CorporationEstablished in 1987 by a group of visionary doctors and businessmen, Maxicare Healthcare Corporation is a pioneering health maintenance organization (HMO) in the Philippines. As the country's largest HMO, Maxicare offers comprehensive healthcare programs through a robust network of over 24,000 doctors and specialists,...

Job SummaryWe are seeking a skilled Accounts Receivable Specialist to join our team at ADEC Innovations Healthcare, Inc. This role involves managing accounts receivable follow-ups, ensuring timely collection of outstanding payments, and maintaining accurate records.Key Responsibilities:Maintain accurate records of all communications and actions taken on...

Job Description:Sourcing Specialists at Access Healthcare Services are responsible for ensuring the timely completion of assigned patient cases.Key responsibilities include performing advanced level work related to clinical denial and utilization management, managing medical denials by conducting comprehensive reviews of clinical documentation, handling...