Clinical Bill Review Professional

Crawford Group is a leading provider of business solutions, and we are seeking a highly skilled Clinical Program Nurse to join our team.About the RoleThis position involves auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement.ResponsibilitiesAudit in-patient and/or surgical bills to ensure adherence...

About the PositionThe Private Advertiser is seeking a Care Coordination and Clinical Reviewer to join our team. In this role, you will be responsible for reviewing evaluations, plans of treatment, progress notes, and other clinical documentation within turnaround time.Key ResponsibilitiesClinical Documentation Review: Review evaluations, plans of treatment,...

Job DescriptionWe are seeking a skilled Clinical Billing Manager to join our team in Ortigas CBD, Pasig. As a Clinical Billing Manager, you will play a critical role in ensuring timely and accurate reimbursement for our clients.The successful candidate will have experience working with medical billing software (e.g., Kareo, eClinicalWorks, AdvancedMD,...

ResponsibilitiesThe successful candidate will be responsible for conducting research and identifying relevant medical coding and billing documents to support our automated claims editing solution.They will also provide written and oral presentations to stakeholders to obtain consensus on proposed denial criteria and support customers with clinical content...

As a Clinical Documentation Specialist at Stark Asia Solutions Inc., you will play a vital role in ensuring the accuracy, completeness, and compliance of clinical documentation within healthcare organizations. Your responsibilities will include conducting systematic reviews of medical records, billing codes, and clinical procedures to verify adherence to...

Clinical Audit ExpertTenet Global Business Center, Inc. is seeking a Clinical Audit Expert to join our team. The successful candidate will have experience in conducting reviews and audits of clinical documentation and billing practices to ensure compliance with regulatory standards and requirements.Main ResponsibilitiesPlan and conduct regular reviews and...

Job DescriptionWe are looking for a highly motivated Clinical Review Team Lead to oversee the clinical review process at WNS Global Services, Inc.Main Responsibilities:Team Leadership: Lead and guide the clinical review team to achieve quality standards.Process Improvement: Develop and implement quality management programs, ensuring compliance with...

Role DescriptionThe Nurse Clinical Specialist is responsible for managing medical cases, developing treatment plans, and ensuring seamless communication between healthcare professionals and patients.Key Accountabilities:Medical Case ManagementEvaluate patient medical history and develop comprehensive care plans.Collaborate with healthcare teams to ensure...

Stark Asia Solutions Inc. seeks a Healthcare Quality Assurance Professional to join its team. As a key member of our organization, you will be responsible for evaluating and ensuring the quality of clinical documentation and processes within healthcare organizations. Your duties will include conducting systematic reviews of medical records, billing codes,...

Company Benefits:Competitive SalaryHMO with 2 Free DependentsGroup life insurancePTO CreditsAnnual AppraisalAnnual Performance BonusDuties and Responsibilities:The Billing Edit Resolution is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with...

About the RoleThe Billing Specialist will play a critical role in ensuring the timely and accurate preparation of billing and statement of accounts to clients. This position requires strong attention to detail, excellent communication skills, and the ability to work effectively in a fast-paced environment.Key responsibilities include reviewing billings in...

Job OverviewTenet Global Business Center, Inc. is seeking a skilled Billing Compliance Specialist to join our team. As a Billing Compliance Specialist, you will play a critical role in ensuring that all appropriate billing charges are captured and documented in accordance with policies and procedures.Main ResponsibilitiesConduct regular reviews and audits of...

Crawford Group seeks a highly skilled Clinical Program Nurse to join our team. As a key member of our medical billing team, you will play a critical role in promoting excellence in medical bill review and process improvement.About the RoleThis position involves auditing in-patient and/or surgical bills, ensuring adherence to standard operating procedures...

Company Benefits:Competitive SalaryHMO on day 1 with 2 Free DependentsGroup life insurancePTO CreditsAnnual AppraisalAnnual Performance BonusDuties and Responsibilities:The Charge Audit Specialist is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance...

Tenet Global Business Center, Inc. is a dynamic organization committed to delivering high-quality healthcare services and seeking a talented Billing Edit Resolution professional to drive excellence in our revenue cycle processes.Job DescriptionThe ideal candidate will possess a strong understanding of clinical documentation and charge capture processes, as...

We are seeking a skilled Clinical Coding Analyst to join our team in Ortigas CBD, Pasig. As an onsite independent contractor, you will be responsible for analyzing and assigning codes to clinical data to ensure accurate reimbursement.Key Responsibilities:Analyze and assign CPT, ICD-10, and HCPCS codes to clinical data.Verify patient insurance eligibility and...

**About the Role:**The Billing Specialist will play a critical role in ensuring the accuracy and timeliness of our billing processes. This position requires strong analytical skills, attention to detail, and excellent communication skills.Key Responsibilities:Prepare and process daily billings, ensuring client invoices are accurate and issued on...

We are currently seeking a Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Clinical Analyst is responsible for analyzing, interpreting, and assigning the correct codes for the descriptions available on various medical procedures and diagnoses, as well as other related medical...

About the PositionWe are seeking a highly skilled Clinical Equipment Professional to join our team at Transmedic Philippines, Inc.As a Clinical Equipment Professional, you will be responsible for selling and supporting our range of ophthalmic equipment.You will work closely with our clinical team to provide in-service training and case support to our...

Company Overview:Cognizant Technology Solutions Philippines Inc. is a leading provider of healthcare solutions, dedicated to delivering exceptional patient care and outcomes.Job Summary:We are seeking an experienced Nursing Professional to join our team as a Healthcare Utilization Reviewer. As a key member of our healthcare operations team, you will play a...