Clinical Bill Review Manager

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...

**About the Role**We are looking for a seasoned Clinical Bill Review Manager to join our EXL Service Philippines, Inc. team. In this role, you will provide clinical support and training to Medical Services Representatives and manage and audit medical bills and records. You will also validate coding (ICD/PT/DRG) and apply fee schedules, negotiate provider...

Job DescriptionA Clinical Appeals Nurse Specialist is responsible for reviewing denied insurance claims, identifying the root cause of denials, and composing appeal letters to secure proper reimbursement.ResponsibilitiesAccess account from appropriate work queue and mark account worked to ensure it will not be assigned to another reviewer.Review claim and...

As a Clinical Documentation Specialist at Stark Asia Solutions Inc., you will play a vital role in ensuring the accuracy, completeness, and compliance of clinical documentation within healthcare organizations. Your responsibilities will include conducting systematic reviews of medical records, billing codes, and clinical procedures to verify adherence to...

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...

Access Healthcare Services Manila, Inc. is a leading healthcare provider seeking a skilled Registered Nurse to assume a critical role in our team.The successful candidate will be responsible for managing medical denials by conducting comprehensive reviews of clinical documentation.Key Responsibilities:Handle audit and compliance responsibilities.Write...

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...

As a Medical Content Analyst 3, you will be responsible for researching and identifying Medicare, Medicaid, and other medical coding and billing documents to develop claim denial or covered criteria for our automated claims editing solution.Primary ResponsibilitiesThis role involves:Key AccountabilitiesConduct thorough analysis of medical coding and billing...

About the PositionThis role involves working closely with staff to identify, research, and analyze charging and billing errors and omissions.ResponsibilitiesPlan, conduct, and evaluate reviews and audits of clinical documentation and billing practices to identify potential charging and billing issues.Prepare reports based on findings and provide summary of...

Job SummaryWe are seeking a skilled Billing Resolution Specialist to join our team at Tenet Global Business Center, Inc.ResponsibilitiesConduct thorough reviews and audits of clinical documentation and billing practices to ensure compliance with regulatory requirements.Identify opportunities to strengthen charge capture processes and enhance revenue...

ABOUT AGS HEALTHWe are an analytics-driven, technology-enabled revenue cycle management company.JOB SUMMARYThis Clinical Authorization Nurse role will be responsible for reviewing and authorizing patient services and claims to ensure accuracy and compliance with regulatory requirements.KEY RESPONSIBILITIESHolds active PHRN license and has at least 6 months...

The Medical Content Analyst 3 will contribute to the development of our automated claims editing solution, which streamlines the medical insurance claims process for payers across the United States.Job RequirementsThis position demands a high level of analytical skill, attention to detail, and effective communication.The ideal candidate will have:Essential...

Our Company OverviewBill Gosling Outsourcing is a leading provider of outsourcing solutions. We focus on making lives better through tailored solutions for businesses worldwide.Job Title: Quality Assurance SpecialistThis role is responsible for evaluating the quality of our associates' interactions with customers. The QA Specialist will monitor calls and...

Opportunity Overview:This is an exciting opportunity to join our team as a Clinical Revenue Cycle Manager. In this role, you will be responsible for managing the clinical revenue cycle and working with internal teams to optimize revenue growth.Key Responsibilities:Manages the clinical revenue cycle, including patient registration, insurance verification, and...

Job Description:As a Clinical Claims Coordinator at INTELASSIST INC., you will play a crucial role in ensuring seamless medical billing operations.Key Responsibilities:Work Hold Buckets: Review and resolve discrepancies in provider information, patient insurance, credentialing, demographics, and other issues as requested.Work Manager Hold Buckets: Provide...

About UsOur Lady of Lourdes Hospital is a leading healthcare provider in the region.Job DescriptionThe successful candidate will be responsible for managing the billing process, ensuring accuracy and efficiency. Key duties include reviewing and verifying PHIC portion on hospital bills, monitoring daily outstanding balances, conducting financial assessments,...

About This PositionWe seek a dedicated Clinical Appeals Coordinator to join our team at UST. As a key member, you will play a vital role in providing exceptional customer support, managing complex appeals and grievances, and ensuring high-quality outcomes.Your responsibilities will include investigating and processing appeals, reviewing services for medical...

Sarisuki Pte Ltd seeks a Billing Operations Manager to oversee our invoicing processes.This role involves managing the preparation and submission of invoices, ensuring accuracy and timeliness. The Billing Operations Manager will also lead the preparation and posting of daily and regular Accounts Receivables reports, addressing any billing errors or...

Job Description:At UST, we are seeking a skilled Clinical Utilization Manager to join our team. 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 3 years of...

Key ResponsibilitiesThe Charge Audit Specialist is responsible for planning, conducting, and evaluating reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements.Essential Duties and ResponsibilitiesConduct thorough reviews and audits of clinical documentation and billing practices to identify...