Clinical Claims Specialist

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...

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...

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 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...

Medical Coding SpecialistThis role is responsible for conducting research and identifying medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.The clinical content could include additions, deletions, or updates to diagnosis codes, procedure codes, age minimums & maximums, quantity...

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 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...

Clinical Documentation & Coding Specialist (Inpatient)Location: Quezon CityWork Setup: OnsiteWork Shift: To be discussed during interviewCompensation: ₱42,000–₱54,000 base + R1 Allowance + Clinical AllowanceAbout the RoleWe're looking for a detail-oriented and certified Clinical Documentation & Coding Specialist to join our healthcare team in Quezon...

Senior Clinical Outreach SpecialistThis is a senior-level position that requires experience in managing clinical outreach campaigns in healthcare, clinical research, or healthtech.The successful candidate will have expertise in designing and executing doctor outreach campaigns for clinical trial site activation, including research and filtering doctors using...

Clinical Triage SpecialistWe are seeking a Clinical Triage Specialist to join our team.This role will involve serving as the initial point of clinical contact for patients, conducting thorough web and voice-based triage assessments to determine the best course of action. The selected candidate will utilize their expertise in clinical judgment to decide on...