Clinical Appeals Professional

Join our dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel in analytical thinking and have a strong...

Medical Coding ProfessionalWe are seeking a Medical Coding Professional to join our team. This individual 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 solution.Key...

Oversee daily clinic operations to ensure smooth and efficient workflow.Manage, supervise, and support clinic staff, including receptionists, nurses, and other healthcare professionals.Ensure compliance with healthcare regulations, safety standards, and clinic policies.Coordinate patient scheduling, billing, and record-keeping processes.Monitor and improve...

Job RoleThe role of a Clinical Operations Manager is to oversee the delivery of clinical services across multiple regions. This involves ensuring that all clients receive exceptional service and that quality standards are met.Client Management & Reporting (30%):Serve as the main point of contact for assigned clients, own the delivery and quality of monthly...

Job OpportunityWe are seeking a detail-oriented professional to fill the position of Clinical Review Specialist.This role requires conducting thorough reviews, case consultations, and interacting with insurance payers to secure continued authorization. The ideal candidate will be a licensed clinical or medical professional well-versed in behavioral health...

Clinical Review Nurse Position SummaryThe position of Clinical Review Nurse involves conducting clinical reviews of cases not meeting criteria by performing clinical intake and adjudicating, requesting additional clinical information, or escalating to Medical Directors. This role requires a high level of expertise in healthcare domain knowledge.Job...

We're Hiring: Mobile Clinic Supervisor Location: A.S. Fortuna Street, Oakridge Business Park, Mandaue City, CebuAt Clinica Prime Cebu Inc. (CPCI), we don't just provide healthcare—we make a difference in people's lives. Backed by advanced technology and a passionate team, we are dedicated to providing exceptional medical care to our community. Now, we're...

Job OpportunityWe are seeking a detail-oriented and reliable professional to support mental health professionals by creating and reviewing clinical notes with the assistance of advanced technology.About the RoleDraft, review, and refine mental health clinical notes using expert systems.Accurately enter finalized notes into multiple platforms ensuring data...

We're Hiring: Mobile Clinic SupervisorLocation: A.S. Fortuna Street, Oakridge Business Park, Mandaue City, CebuAt Clinica Prime Cebu Inc. (CPCI), we don't just provide healthcare—we make a difference in people's lives. Backed by advanced technology and a passionate team, we are dedicated to providing exceptional medical care to our community. Now, we're...

Clinical Case Management Nurse PositionThis role is designed to support healthcare clients by providing expert clinical guidance and facilitating effective case management.The successful candidate will play a crucial part in optimizing revenue cycle processes, ensuring the most cost-effective and clinically appropriate care is provided.Key...