
Clinical Authorization Specialist
1 day ago
We are seeking a highly skilled and detail-oriented Professional to support our Residential, PHP, and IOP levels of care.
This individual will be responsible for conducting reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.
Key Responsibilities:- Conduct comprehensive assessments and clinical case consultations with insurance payers to secure continued stay authorizations.
- Review detailed client charts prior to reviews, including progress notes, psychiatric evaluations, history and physical exams, nursing assessments, medical vitals, and lab reports.
- Collaborate with clinical and medical team members to gather updated and relevant information that supports the client's medical necessity for continued care.
- Maintain a working knowledge of insurance medical necessity criteria.
- Accurately document all review interactions in the Electronic Medical Record or designated systems.
- Participate in interdisciplinary team meetings and provide feedback regarding documentation practices that support utilization review.
- Proactively track authorization timelines, expirations, and upcoming reviews to avoid service interruptions.
- Full-time position available.
- 100% Remote work arrangement.
- Mid-senior level professional sought.
-
Clinical Data Specialist
16 hours ago
Calamba, Calabarzon, Philippines beBeeCoding Full time ₱34,000Job Summary:We are seeking an experienced Coding and Clinical Data Specialist to join our team.As a Coding and Clinical Data Specialist, you will be responsible for providing coding and coding auditing services directly to healthcare providers. You will analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated...
-
Prior Authorization Coordinator
12 hours ago
Calamba, Calabarzon, Philippines beBeeAuthorization Full time ₱400,000 - ₱600,000Job Summary:We are seeking a highly skilled Prior Authorization Specialist to join our organization.The successful candidate will be responsible for obtaining all types of prior authorizations, including biologic medications, procedures, prescriptions, and out-patient testing.This role requires strong professional and courteous interaction with patients,...
-
Clinical Support Specialist
1 day ago
Calamba, Calabarzon, Philippines beBeeCustomer Full time $42,885 - $64,567Job OverviewWe are seeking a skilled professional to join our clinical support team. As a key member, you will play a crucial role in customer satisfaction by making every contact informative, productive, and positive for our members and providers.You will have the opportunity to do live outreach, educating members about program benefits and services while...
-
Clinical Documentation Specialist
1 day ago
Calamba, Calabarzon, Philippines beBeeDocumentation Part time $40,000 - $55,000Job Opportunity: Clinical Documentation SpecialistWe are seeking a detail-oriented and reliable individual to support mental health professionals by creating and reviewing clinical notes with the assistance of AI tools. This role involves accurately entering finalized notes into multiple platforms while maintaining confidentiality and consistency.
-
Clinical Documentation Specialist
1 day ago
Calamba, Calabarzon, Philippines beBeeNoteWriter Part time $35,000 - $55,000Job Title:A Clinical Documentation Specialist is needed to create and review mental health clinical notes with the assistance of AI tools.Key Responsibilities:Accurately draft, review, and refine mental health clinical notes using AI-powered tools.Enter finalized notes into multiple platforms while maintaining confidentiality and consistency.Maintain...
-
Clinical Documentation Specialist
12 hours ago
Calamba, Calabarzon, Philippines beBeeDocumentation Full time $9,600A clinical documentation specialist plays a vital role in the healthcare industry, working closely with medical professionals to document patient interactions in real-time. This ensures accurate and detailed records that support high-quality patient care.Key Responsibilities:Documenting patient encounters during virtual or recorded consultations using...
-
Distant Clinical Support Specialist
1 day ago
Calamba, Calabarzon, Philippines beBeeClinical Full time ₱6,000,000 - ₱8,000,000Job Title: Distant Clinical Support SpecialistPosition Overview:The Distant Clinical Support Specialist will provide direct support to the Private Duty Nursing (PDN) Director of Nursing in overseeing clinical operations for home care services. This role is responsible for assisting with documentation, compliance, scheduling, and care coordination to ensure...
-
Medical Billing Claims Adjudicator
1 day ago
Calamba, Calabarzon, Philippines beBeeBenefitsVerification Full time $54,000 - $66,000Benefits Verification SpecialistThe Benefits Verification specialist plays a critical role in supporting healthcare providers, treatment centers, and billing departments by verifying patients' insurance coverage and benefits. This position ensures accurate and timely verification of insurance information to facilitate smooth admissions, billing, and claims...
-
Home Health Care Clinical Coordinator
1 day ago
Calamba, Calabarzon, Philippines beBeeHealthcare Full time $12,960Job Title: Home Health Care AdministratorWe are seeking an experienced clinical professional to oversee intake coordination, compliance, and clinical documentation for our home healthcare services. As a key member of our team, you will act as the bridge between physicians, nurses, patients, and administrative staff to ensure seamless care...
-
Prior Authorization
12 hours ago
Calamba, Calabarzon, Philippines beBeeAuthorization Full time ₱450,000 - ₱550,000Job Title: Prior Authorization & Scheduler PositionJob Summary:This role combines insurance verification and prior authorization duties with patient scheduling, requiring a detail-oriented professional who can manage both efficiently while delivering exceptional patient service.Key Responsibilities:Verify insurance coverage and obtain prior authorizations...