Clinical Claims Professional

Job Title: Renal Clinic Claims ProcessorJob SummaryWe are seeking a highly detail-oriented and proactive individual to join our team as a Renal Clinic Claims Processor. The successful candidate will be responsible for managing administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining...

Medical Claims ProcessorWe are seeking a detail-oriented and organized professional to handle medical claims and insurance processes. The ideal candidate will have strong analytical skills, excellent attention to detail, and experience in managing claims and workflows.About the RoleThe successful candidate will be responsible for accurately processing and...

Job DescriptionThe role of a Clinical Claims Specialist is critical within our organization. This position involves closely monitoring the status of medical claims, meticulously investigating rejections and denials, and accurately documenting related account activities.This specialist will be responsible for processing adjustments and managing collections...

Position Title: Clinical AdviserLocation: Makati CityEmployment Type: Contractual (once or twice a week)Job Summary:The Clinical Adviser provides expert medical advice and guidance to support the company's underwriting, claims, and product development functions. This role is responsible for reviewing and validating medical documentation, interpreting...

Job Title: Healthcare Content SpecialistAbout the RoleThis is a highly specialized role that involves conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. This solution is utilized by medical insurance...

At RDI, we are seeking an accomplished Clinical Outreach and Campaign Manager to spearhead our site outreach initiatives. This dynamic role demands a skilled professional with a proven track record in crafting targeted campaigns that drive meaningful results.Job DescriptionThis position plays a pivotal role in the success of our clinical research endeavors....

Job Title: Healthcare Content SpecialistOverview of the PositionThe Healthcare Content Specialist occupies a pivotal role within our organization, working on an automated claims editing solution utilized by medical insurance payers across the United States.Responsibilities and Key TasksConduct in-depth research to identify Medicare, Medicaid, and other...

Medical Coder Job DescriptionThe Medical Coder will be responsible for conducting in-depth research and identifying Medicare, Medicaid, and other medical coding and billing documents to pinpoint claim denials or covered criteria (clinical content) for our automated claims editing solution.This solution is utilized by medical insurance payers across the...

Job Title: Clinical Insights AnalystWe are seeking a skilled and detail-oriented Clinical Insights Analyst to join our team in Manila. As a key member of our clinical operations team, you will play a critical role in ensuring the safety and quality of our clinical services.">Conduct thorough audits of prescribing practitioners and other care team members,...

Job Title: Clinical Outreach SpecialistRadiate your expertise in clinical research by joining our dynamic team as a Clinical Outreach Specialist. This is a high-trust, high-autonomy role that will challenge and empower you to make significant contributions.About the JobAs a Clinical Outreach Specialist, you will be responsible for developing and executing...