Senior Clinical Nurse Auditor Specialist

Key ResponsibilitiesCollaborate with Eligibility Enrollment Specialists to secure referrals from Savista's clients.Verify medical records to validate required authorizations.Document case and updated account statuses in Savista's client host system when applicable.Utilize state or payor portal to check authorization statusesRequirements:Bachelor's Degree in...

Job Description:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya KPO. In this role, you will work closely with the Eligibility Enrollment Specialist to obtain referrals from our clients and review medical records to validate authorization requirements.You will utilize Savista's client host system to document case and updated account...

Visaya Knowledge Process Outsourcing is seeking a skilled Clinical Nurse Auditor to join our team. This role involves working closely with the Eligibility Enrollment Specialist to secure referrals from Savista's clients.The ideal candidate will have a strong understanding of clinical authorizations, medical records, and customer service skills. A Bachelor's...

Job DescriptionWe are seeking a skilled and detail-oriented Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare compliance team, you will play a critical role in ensuring the accuracy and integrity of medical records.Key Responsibilities:Collaborate with Eligibility Enrollment Specialists to...

We are seeking a highly skilled Clinical Auditor to join our team at Gratitude Philippines.About the RoleThis is a key position that will involve regular audits of clinical practices, patient records, and healthcare processes to ensure compliance with regulatory requirements. The ideal candidate will have strong analytical skills and be able to identify...

Job Title: Sr. IT AuditorWe are seeking a highly skilled Sr. IT Auditor to join our team at JK Network Services. As a Sr. IT Auditor, you will be responsible for evaluating IT governance to ensure adequate management oversight is in place, safeguarding internal controls and data, and examining internal IT controls to evaluate design and operational...

Job Title:AR Complex Clinical Denials SpecialistJob Description:Role Summary: We are seeking a highly skilled Clinical Denials and Appeals Specialist to join our team at Visaya KPO. As a key member of our Accounts Receivable department, you will be responsible for researching and resolving complex clinical denials, ensuring timely payments and maintaining...

Job Title: Corporate Occupational Health SpecialistAbout J-K Network Services: A well-established Finance company with a rich history dating back to 1954.Role Overview: As a key member of our team, you will be responsible for promoting and ensuring the health and wellbeing of employees. Your role will involve managing our on-site clinic, providing first aid...

At Solid Lyndelle Manpower Services Inc., we're seeking a highly skilled Healthcare Compliance Specialist to join our team. This role is perfect for a registered nurse with CIC/CCS certification and prior auditing/DRG experience, who's passionate about ensuring the highest standards of patient care.The ideal candidate will have extensive knowledge of US...

RCX Recruitment Inc. is seeking a highly skilled Senior Risk Management Specialist to join our team. The ideal candidate will have a strong background in auditing, risk management, and compliance.About the RoleWe are looking for an experienced professional who can effectively evaluate and improve our company's risk management and internal control systems....

Job OverviewWe are seeking an experienced Clinical Denials Specialist to join our team at Visaya KPO. The successful candidate will be responsible for managing medical collections and denials, ensuring timely payments and resolving claims efficiently.About the RoleThis is a full-time position based in Ortigas, Pasig City, with opportunities for career growth...

Job Title: Occupational Health NurseCompany: J-K Network ServicesJob Type: Full-timeIndustry: FinancialLocation: Pasig CityWe are seeking a skilled Occupational Health Nurse to join our team at J-K Network Services, a well-established Finance company in Pasig City. As an Occupational Health Nurse, you will be responsible for promoting and ensuring the health...

Job Title: Medical Insurance Recovery RepresentativeThe Medical Insurance Recovery Representative at Visaya KPO plays a crucial role in the timely collection of outstanding government or commercial healthcare insurance receivables.Responsibilities:Verify patient eligibility and/or authorization for healthcare services by searching payer web sites or client...

About the Role:J&T Express Inc. is seeking a skilled Healthcare Services Specialist to join our team. As a Healthcare Services Specialist, you will be responsible for providing basic healthcare services to our employees, including administering first aid and evaluating overall health.Key Responsibilities:Administer first aid and provide basic healthcare...

CPI Outsourcing seeks a highly skilled Senior Healthcare Professional - Operations to join their team in Pasig or Mandaluyong.As a Senior Healthcare Professional - Operations, you will play a critical role in ensuring the health and safety of employees within the organization. This is a unique opportunity to work with a dynamic company that values the...

Job Title: Senior Quality Assurance SpecialistJob Summary: We are seeking a highly skilled Senior Quality Assurance Specialist to join our team at Gratitude Philippines. The ideal candidate will have a strong background in quality assurance, with expertise in process quality management and error identification.Develop and implement quality assurance...

At Visaya Knowledge Process Outsourcing, we are seeking a highly skilled Senior Insurance Refund Specialist to join our team in Ortigas, Pasig City. As a key member of our revenue cycle department, you will play a crucial role in ensuring accurate and timely refunds to insurance payers.Job OverviewThe Senior Insurance Refund Specialist will be responsible...

ROLE OVERVIEWWe are currently seeking experienced nurses who are interested in joining our operations team. In this role, you will be responsible for staffing emergency access telephone lines in our operations centers to respond to client health events and other emergencies. Additionally, the role also includes international deployments to support medical...

Job OverviewHunter's Hub, Inc. is seeking an experienced Senior Enterprise Integration Specialist to join our team.

Job SummaryWe are seeking a highly skilled and organized Senior Business Operations Specialist to join our team at ICrescere Services Corp.