
Clinical Resource Specialist
1 day ago
We are seeking a skilled and experienced Healthcare Utilization Management Specialist to join our team.
Job Description:- This is an exciting opportunity to work as a clinical resource, reviewing inpatient and outpatient services for medical necessity and appropriateness.
- Must have active PHRN and USRN Mainland License.
- Preferably with 1 year Clinical bedside experience.
- Background in Workers Compensation Utilization Management reviews (Prospective/Concurrent/Retrospective) for Inpatient/ Outpatient services according to URAC standards.
- Background in Healthcare Utilization Management Provider Appeals reviews (Prospective/Concurrent/Retrospective) for Inpatient/ Outpatient services according to URAC standards.
- Strong communication and teamwork skills.
- Work From Home arrangement available.
- Fixed weekends off.
- Night Shift schedule.
- Opportunity to work with a dynamic and growing organization.
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Senior Clinical Operations Specialist
1 day ago
Cabuyao, Calabarzon, Philippines beBeeClinicalOperations Full time ₱900,000 - ₱1,200,000Senior Clinical Operations SpecialistWe are seeking a skilled and experienced Senior Clinical Operations Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring the exceptional delivery of clinical services across onsite and virtual channels.Your primary focus will be on client management and reporting,...
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Clinical Documentation Professional
4 hours ago
Cabuyao, Calabarzon, Philippines beBeeDocumentation Full time $800 - $9,600Medical Documentation SpecialistA Medical Documentation Specialist plays a pivotal role in the healthcare industry by accurately recording clinical interactions in real-time. This enables medical professionals to focus on patient care while ensuring precise and detailed patient records.This key function is crucial for the success of any healthcare...
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Clinical Peer Review Specialist Position Available
20 hours ago
Cabuyao, Calabarzon, Philippines beBeeClinicalPeerReview Full time $22,000**Job Title:** Clinical Peer Review SpecialistWe are seeking a detail-oriented Clinical Peer Review Specialist to support our Residential, PHP, and IOP levels of care. This role involves conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.Main Responsibilities:Conduct comprehensive peer reviews...
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Clinical Support Specialist
1 day ago
Cabuyao, Calabarzon, Philippines beBeeCaseManager Full time $1,700 - $2,200Job DescriptionThe Outpatient Case Manager plays a crucial role in delivering client-centered support across all stages of treatment. They work closely with clients, families, internal teams, and external service providers to ensure the efficient delivery and documentation of wraparound services.Key Responsibilities:Serve as the primary point of contact for...
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Clinical Outreach Specialist
1 day ago
Cabuyao, Calabarzon, Philippines beBeeOutreach Full time ₱7,200 - ₱7,800Clinical Outreach Specialist plays a vital role in our fast-paced clinical research company. As we work on high-impact diagnostics trials, we are seeking an individual who can own and run site outreach campaigns.We need someone who is systems-minded, able to build precision-targeted lead lists, and run outreach end-to-end. You will also manage and coach a...
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Remote Clinical Research Recruiter
21 hours ago
Cabuyao, Calabarzon, Philippines beBeeClinical Full time $45,000 - $55,000Recruitment Specialist for Clinical TrialsSupport medical research by attracting and screening volunteers for studies at a remote location.",
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Clinical Trials Site Activation Professional
21 hours ago
Cabuyao, Calabarzon, Philippines beBeeClinicalOutreach Full time $90,000 - $162,000Senior Clinical Outreach SpecialistWe are seeking an accomplished systems-minded professional to lead and execute site outreach campaigns for clinical trial site activation. The ideal candidate will have expertise in researching and filtering doctors using various tools, as well as building targeting frameworks using CPT, ICD-10, and claims logic.
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Clinical Coding Expert
1 day ago
Cabuyao, Calabarzon, Philippines beBeeClinical Full time $70,000 - $100,000Medical Coding Specialist Role OverviewJob Summary:This medical coding specialist role is responsible for researching and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution. The solution is utilized by medical insurance payers across the United...
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Clinical Content Analyst
1 day ago
Cabuyao, Calabarzon, Philippines beBeeCoding Full time $50,000 - $74,000Medical CoderWe are seeking a skilled Medical Coder to join our team. As a Medical Coder, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.Conduct research and identify relevant documents to...
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Clinical Documentation Coordinator
23 hours ago
Cabuyao, Calabarzon, Philippines beBeeDocumentation Full time $9,600Medical Documentation SpecialistThis role enables medical professionals to focus more on patient care by handling documentation and administrative tasks.Key Responsibilities:Documenting real-time patient encounters during virtual or recorded consultations using Electronic Medical Records (EMRs)Accurately capturing patient histories, physical exam findings,...