Medical Denials Specialist

Access Healthcare is looking for a Utilization and Clinical Denials Nurse to join our growing clinical account. The ideal candidate is a Licensed Philippines Nurse with at least one (1) year of hospital bedside experience and a strong understanding of utilization review, clinical documentation, and denial management in a BPO set-up. This role involves...

Med-Metrix is seeking a talented Medical Claims Analyst to fill this critical role.Job DescriptionThis is an exciting opportunity to join a dynamic team and contribute to the success of our organization.Responsibilities:Manage claims and denials, ensuring timely resolution and minimal disruption to business operations.Maintain strong relationships with...

Discover a rewarding career opportunity with MicroSourcing as a Medical Coding Specialist!About the RoleThe successful candidate will be responsible for 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...

About MED-METRIX INTERNATIONAL PH-I, INC.Our company is a leading provider of medical billing services. We are dedicated to delivering exceptional results and building long-term relationships with our clients.Job DescriptionThe Trainer, Call Center will be responsible for conducting medical billing and claim denials training programs for new and existing...

Job Description:We are looking for a skilled Inpatient Denials and UR Reviewer to join our team at Omega Healthcare Management Services Inc. The ideal candidate will have experience in reviewing denied claims and identifying root causes.The successful candidate will have a strong understanding of medical necessity and billing procedures, as well as...

Company Overview:Med-Metrix International PH-I, Inc. is a reputable organization in the healthcare industry.Job Summary:We are seeking an experienced Medical Billing Specialist to join our team as a Revenue Cycle Expert. This individual will be responsible for conducting medical billing, claim denials and appeals, revenue cycle management training programs...

OverviewInizio Medical is expanding its team of Medical Content Specialists based in the Philippines, providing opportunities to work on cutting-edge projects and contribute to impactful medical affairs strategies.

Discover your 100% YOU with MicroSourcingPosition: Medical Content AnalystLocation: GSC Tower, BGC, Taguig CityWork Set-up & Shift: Work From Home and Night ShiftYour Role:The Medical Content Analyst will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or...

Theoria Medical is seeking a skilled Medical Coding Specialist to join its team. As a Medical Coding Specialist, you will play a critical role in ensuring compliance with insurance, federal, and state regulations.You will review and analyze medical records and documentation to ensure accurate coding. Assigning appropriate ICD-10, CPT, and HCPCS codes based...

Grow with us in the heart of Metro Manila This position is an onsite independent contractor role, based in Ortigas CBD, Pasig, right by Ortigas Station MRT.ESSENTIAL JOB FUNCTIONS:Medical Billing & Claims Processing:Prepare and submit clean claims to insurance companies via electronic and paper submissions.Verify patient insurance eligibility and benefits...

JOB SUMMARY:The Medical Biller will be responsible for processing of claims for a chain of pediatrics clinics in USA. ensuring that we get paid by insurance, denial investigation and resubmission, A/R recovery.DUTIES:Posting of payment and downloading ERA/EOBDenial Management: Investigating and appealing denied claims. Ability to correct denial claims with...

We are seeking a Medical Billing and Coding Specialist to join our team. As a Healthcare Revenue Cycle Specialist, you will be responsible for managing our healthcare receivables operations, including collections, cash application, account reconciliations, and denials management.Key ResponsibilitiesManage healthcare receivables operations, ensuring timely...

Job Summary:Theoria Medical is a leading-edge medical group and technology company seeking a detail-oriented Medical Coding Specialist to join its Quality Department. As a key member of the team, you will play a critical role in ensuring compliance with insurance, federal, and state regulations.About the Role:You will review and analyze medical records and...

Job Summary:Theoria Medical seeks a detail-oriented and organized Medical Coding Specialist to support its billing department by accurately reviewing, assigning, and verifying medical codes for various patient services.Key Responsibilities:Review and analyze medical records and documentation to ensure accurate coding.Assign appropriate ICD-10, CPT, and HCPCS...

Medical Content Specialist - Medical CommunicationsManila, PhilippinesWe are expanding our team of Medical Content Specialists based in the Philippines. Our Philippines team works alongside our global teams in ApotheCom, Nucleus Global and Ashfield MedComms across the US, UK, EU, and South Africa which will give you the opportunity to work on cutting edge...

Job OverviewTheoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum. As a Credentialing Specialist, you will play a critical role in maintaining licensure and other information for healthcare facilities.Key responsibilities include onboarding new hires, obtaining necessary documentation,...

About the Role:We are seeking a skilled Nurse Case Manager - Medical Necessity to join our team at Omega Healthcare Management Services Inc. The successful candidate will have experience in reviewing denied claims and determining the validity of denials.The ideal candidate will have a strong understanding of medical necessity and billing procedures, as well...

Medical Content SpecialistWe are expanding our team of medical content specialists to work on cutting-edge projects in drug development and commercialization.Inizio Medical develops impactful medical affairs strategies and compelling communications. Our team works alongside global partners across the US, UK, EU, and South Africa.You will be responsible...

Theoria Medical seeks a skilled Credentialing Specialist to join its team. As a member of our staff, you will be responsible for maintaining licensure and other information for healthcare facilities.">Key Responsibilities:">Maintain accurate and up-to-date records of healthcare provider credentialsOnboard new hires and obtain necessary documentationOrder...

Job DescriptionTenet Global Business Center, Inc. is seeking a skilled Dispute Management Specialist - Medical Claims. The ideal candidate will have a strong understanding of medical claims processing and a proven track record in resolving disputes and appeals.Main Responsibilities:- Validating denial reasons and ensuring accurate coding in DCM- Generating...