Clinical Claims Coordinator

About the RoleAs a Claims Processing Coordinator at Networx Auto Detailing Corp., you will be responsible for assisting in the processing of insurance claims. This involves ensuring timely resolution of claims, maintaining accurate records, and performing administrative tasks related to claims.You will also communicate with clients and insurance companies,...

Main Duties and ResponsibilitiesAssessment / adjudication of "real-time" hospitalization claims of Insured members (i.e currently hospitalized customers).Analysis of medical documents related to the hospitalization of Insured customers to come up with the correct claims decision.Approve amounts (up to P500K) and ensure proper escalations are done for those...

Clinical Appeals SpecialistWe are seeking an experienced Clinical Appeals Specialist to join our team at Viventis Search Asia. As a Clinical Appeals Specialist, you will be responsible for preparing and submitting clinical appeals for denied claims, collaborating with healthcare teams, analyzing denials, ensuring compliance, and monitoring appeal...

Key ResponsibilitiesAs a Clinical Care Coordination Professional, you will play a pivotal role in coordinating patient care services at Selectcare Philippines Inc.Main Responsibilities:The successful candidate will be responsible for performing daily case management tasks to ensure seamless care delivery;Collaborate with healthcare providers to identify the...

About the PositionThe Crimson Group Inc. is seeking a skilled Construction Claims Coordinator to join our team. As a key member of our construction team, you will be responsible for coordinating construction claims, processing billings to and claims against the customer, and evaluating subcontractor billings.Main ResponsibilitiesProcess billings to and...

Senior Business Analyst - HealthcareThis is a mid-senior level contract position for a Senior Business Analyst - Healthcare at Lancesoft Philippines. As a key member of the team, you will be responsible for delivering high-quality solutions that meet the evolving needs of our clients in the healthcare industry.Key ResponsibilitiesCollaborate with...

Role SummaryThe Clinical Operations Coordinator will be responsible for managing and coordinating clinical operations, ensuring seamless and compassionate support for patients. This role requires a deep understanding of patient needs, efficient management of appointments and follow-ups, and a proactive approach to improving patient experiences.Key...

Job DescriptionAs a Clinical Care Coordinator, you will play a crucial role in managing patient care from admission to discharge. You will work closely with multiple clinical specialties, doctors, insurance providers, patients, and their families to ensure seamless communication and coordination of care.Key Responsibilities:• Perform case management,...

Access Healthcare Services Manila, Inc. is seeking a skilled Utilization and Clinical Denials Nurse to join our growing clinical team. As a licensed nurse with at least one year of hospital experience, you will play a crucial role in reviewing medical cases, ensuring compliance with payer requirements, and assisting in the appeals process for denied...

Job SummaryNityo Infotech is seeking a highly skilled Clinical Trial Coordinator to join our team. As a Clinical Trial Coordinator, you will be responsible for conducting calls with patients, informing them about clinical trials, and qualifying or disqualifying them based on inclusion/exclusion criteria.About the RoleThis is a remote work arrangement, and we...

Role Summary:As a Nurse Clinician - Claim Processing at PRINCIPAL GLOBAL SERVICES (PHILIPPINES) LLC, you will play a critical role in reviewing and analyzing medical information to make informed claim decisions. You will collaborate with employers, employees, and medical providers to gather necessary details and provide updates on claim status and medical...

Key ResponsibilitiesManage and coordinate administrative and operational activities of our dental clinicsOversee scheduling and allocation of staff to ensure optimal clinic workflow and patient satisfactionMonitor inventory levels and procure necessary dental supplies and equipmentApart from these core responsibilities, you will also be expected to analyze...

We are looking for a highly skilled Utilization and Clinical Denials Nurse to join our clinical team at Access Healthcare Services Manila, Inc. As a licensed nurse with at least one year of hospital experience, you will be responsible for conducting thorough reviews of medical cases, analyzing denials, and assisting in the appeals process for denied...

About the Role:The Clinical Billing Professional will play a critical role in ensuring accurate and timely reimbursement for medical services provided by Tenet Global Business Center, Inc.Key Responsibilities:Review and verify claim information to ensure accuracy and completeness.Communicate with payers to address any discrepancies or issues related to...

We are looking for a talented Utilization and Clinical Denials Nurse to join our clinical team at Access Healthcare Services Manila, Inc. This role involves reviewing medical cases, ensuring compliance with payer requirements, and assisting in the appeals process for denied claims. As a licensed nurse with at least one year of hospital experience, you will...

Job Description:We are seeking a highly skilled Clinical Care Coordinator to join our team at Private Advertiser. As a key member of our care management team, you will be responsible for collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes.Responsibilities:Ensure medically appropriate,...

Key ResponsibilitiesThe Clinical Site Financial Coordinator will review invoices in line with site contracts and visit data to ensure timely, accurate, and efficient payments.You will work closely with the Accounts Payable team to ensure correct amounts are paid to clinical sites, adhering to contractual agreements and company policies.You will also maintain...

About the RoleThe Non-Life Claims Manager is responsible for overseeing the entire claims lifecycle, from initial intake to final resolution. This involves coordinating with internal teams and external partners to ensure seamless communication and efficient claim resolution.Key ResponsibilitiesManage a team of claims handlers, providing guidance and support...

Job Description:As a Clinical Case Manager at PRINCIPAL GLOBAL SERVICES (PHILIPPINES) LLC, you will play a vital role in acquiring, analyzing, and investigating medical information to make informed claim decisions. You will connect with employers, employees, and medical providers to gather relevant details and provide updates on claim status and medical...

Job OverviewWe are seeking a skilled Insurance Claims Specialist to join our team at Networx Auto Detailing Corp. As an Insurance Claims Specialist, you will play a vital role in the processing of insurance claims.Your primary responsibility will be to ensure timely resolution of claims, maintaining accurate records and performing administrative tasks...