Medical Claims Specialist

Job DescriptionAs a Medical Claims Advisor at R1 RCM Inc., you will play a critical role in ensuring that patient claims are processed efficiently and accurately. Your primary responsibility will be to review and verify patient information, resolve claim discrepancies, and communicate with patients to ensure that they understand the status of their...

About the RoleYou will be an integral part of our team at Sun Life, working closely with colleagues who are experts in their fields. Your role will involve appraising and approving claims within prescribed approval limits, as well as performing initial reviews of claims that exceed these limits and submitting recommendations to your Manager for review and...

Discover your 100% YOU with usPosition: Medical Content AnalystLocation: BGC, Taguig CityWork Set-up & Shift: Work From HomePosition Summary:The Medical Content Analyst will be responsible in conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content)...

Discover your 100% YOU with usPosition: Medical Content AnalystLocation: BGC, Taguig CityWork Set-up & Shift: Work From HomePosition Summary:The Medical Content Analyst will be responsible in conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content)...

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

A Career Opportunity AwaitsWe are seeking a skilled Warranty Claim Specialist to join our dynamic team at BYD Automotive. As a key contributor, you will play a vital role in providing exceptional customer service and managing vehicle warranty claims efficiently.Key Responsibilities:Processing warranty claims and resolving customer inquiriesLiaising with...

We are looking for a Medical Review Specialist to join our team at Access Healthcare Services.About the PositionThis role offers an opportunity for a Registered Nurse with active licensure to apply their clinical expertise in reviewing and managing medical claims.Key ResponsibilitiesReview and analyze clinical documentation to identify potential denial...

Responsibilities:Diligently review patient data and identify areas for improvement.Develop a strong understanding of payor portals to ensure seamless claims processing.Work collaboratively with the team to achieve common goals.

FWD Group Management Holdings Limited is a leading pan-Asian life and health insurance business. As a customer-centric organization, we aim to deliver innovative solutions that make a meaningful difference in people's lives.Key ResponsibilitiesService Functions:Manage claims-related functions, ensuring seamless delivery of Customer Connect Services including...

Roles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...

Company OverviewR1 RCM is a leading provider of technology-enabled revenue cycle management services. Our mission is to deliver innovative solutions that improve patient outcomes and reduce costs for healthcare providers.About the PositionWe are seeking a highly motivated and detail-oriented Healthcare Support Associate to join our team. As a key member of...

Job Description\TASQ Staffing Solutions is seeking a highly skilled PHRN (Disability Claims) professional to join our team. As a key member of our team, you will be responsible for reviewing and gathering information, making phone calls, and making the actual claim decision for short-term disability claims.\Responsibilities\Active PHRN licenseBachelor's...

Responsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...

Accounting and Finance ResponsibilitiesWe are seeking a seasoned Financial Specialist to join our team at Fresenius Medical Care. The successful candidate will be responsible for various accounting and finance tasks, including:Managing financial transactions, ensuring accuracy and compliance with regulatory requirements.Maintaining balance sheet...

Job DescriptionFresenius Medical Care seeks a highly skilled Financial Specialist to join our team. The successful candidate will be responsible for managing financial transactions, ensuring accuracy and timeliness, and complying with regulatory requirements.This involves:Recording transactions in the general ledger, adhering to customer requirements and...

Hybrid - Taguig 1-3 Yrs Exp Bachelor Full-timeJob DescriptionInsurance Health & WellnessRetirement PlanProfessional DevelopmentProfessional DevelopmentWork-Life BalanceFlexible Hours, Work from HomeDescriptionManages portfolio of healthcare insurance accounts. Provides assistance to insured members in respect of coverage and procedure availment of benefits....

We're seeking a highly experienced Senior Disability Claims Professional to join our team at Sun Life Financial. As a key member of our leadership team, you'll be responsible for managing a team of disability case managers and ensuring the profitability of our group disability clients.Your Key Responsibilities:Develop and implement effective strategies to...

Requirements:Bachelor's degree in Nursing or Medical-related courseWith recent medical coding experience in clinical/BPO/CPO set-upWith active Certified Coding Specialist (CCS) or Certified Documentation Integrity Practitioner (CDIP)Experience CDI Specialist is also welcome to applyExcellent communication, organizational, time management, and interpersonal...

About the RoleMedtronic is seeking a Medical Device Regulatory Compliance Specialist to join our team. The successful candidate will have at least 2 years of experience in the medical device industry or a similar environment, with a good understanding of GDP and ISO 13485 implementation.In this role, you will be responsible for ensuring that our medical...

You're an important part of our future. Hopefully, we're also a part of your future At B. Braun, we protect and improve the health of people worldwide. You support this vision, bringing expertise and sharing innovation, efficiency and sustainability as values. That's why we would like to keep developing our company with you. Keeping your future in mind,...