Clinical Support Specialist

7 days ago

Dumaguete, Central Visayas, Philippines beBeeCustomer Full time $35,000 - $48,000
Job Overview

We are seeking a skilled professional to join our clinical support team as a Clinical Support Specialist. As a vital member of our team, you will play a key role in customer satisfaction and be responsible for making every contact informative, productive and positive for our members and providers.

You will have the opportunity to engage in live outreach, educating members about program benefits and services while also helping to manage member cases.

Key Responsibilities:

  • Manage the intake of members or the admission/discharge information post notification
  • Collaborate with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers
  • Process incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
  • Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
  • Handle resolution/inquiries from members and/or providers

This is a high-volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone.

Requirements:

  • H.S. Diploma or GED
  • 1+ years of customer service experience analyzing and solving customer problems
  • Ability to create, edit, save and send documents utilizing Microsoft Word and Excel
  • Ability to type and talk at the same time and navigate through multiple screens

Preferred Qualifications:

  • Experience working within the healthcare industry and with health care insurance
  • Experience working with Medicare and/or Medicaid Services
  • Experience working in a metric-driven work environment
  • Call center experience
  • Knowledge of ICD-9 and CPT codes
  • A clerical or administrative support background

  • Clinical Engagement Specialist

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeOutreach Full time ₱1,000,000 - ₱1,500,000

    Job Description:The Clinical Outreach role is responsible for designing and executing doctor outreach campaigns to activate clinical trial sites. This involves researching and filtering doctors using various tools, building targeting frameworks, and quality assurance of lists before launch.This high-trust, high-autonomy position requires a skilled...

  • Clinical Claims Specialist

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeClinicalClaims Full time ₱500,000 - ₱1,000,000

    Job Title: Clinical Claims SpecialistThis is a fantastic opportunity for an experienced professional to thrive in a fast-paced environment and excel at managing medical claims.Main Responsibilities:Review and manage denied or aging claims by logging into client billing systems.Work claim queues to identify root causes of denials and submit necessary...

  • Clinical Data Specialist

    6 days ago

    Dumaguete, Central Visayas, Philippines beBeeSpecialist Full time $51,000 - $62,475

    Our organization seeks a diligent Clinical Data Specialist to assume responsibility for submitting claims to insurance companies and ensuring timely payment.Key Responsibilities:Process data from medical coders, verify insurance coverage, and review denied claims.Provide administrative support, including data entry and verification, to patients with billing...

  • Home Health Support Specialist

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeSupport Full time ₱1,375,000 - ₱1,750,000

    Job Title: Home Health Support Specialist The Home Health Support Specialist will play a vital role in ensuring the smooth operation of our home care services. This position involves providing administrative and clinical support to our team, ensuring accurate documentation, compliance with regulations, and effective communication between patients, families,...

  • Clinical Documentation Specialist

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeDocumentation Full time $9,600

    Medical Scribe Role OverviewThis is a dynamic position that involves closely collaborating with healthcare professionals to document clinical interactions in real-time, ensuring accurate and detailed patient records.

  • Client Support Specialist

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeCustomerService Full time ₱300,000 - ₱480,000

    Job Title: Client Support SpecialistWe are seeking a dedicated Client Support Specialist to provide high-quality support to our Care Coordinators based in our office. This full-time role is crucial in ensuring the smooth coordination of services for our aged care and disability clients.Responsibilities:Act as the first point of contact for phone calls,...

  • Home Health Clinical Expert

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeClinicalCare Full time $12,960

    Home Healthcare AdministratorWe are seeking a skilled and experienced Home Healthcare Administrator to join our team. The successful candidate will be responsible for overseeing intake coordination, compliance, and clinical documentation.This is a critical role that requires strong clinical knowledge, excellent communication skills, and the ability to work...

  • Medical Clinical Documenter

    6 days ago

    Dumaguete, Central Visayas, Philippines beBeeDocumentation Full time $19,200 - $24,000

    Job OverviewA medical scribe plays a vital role in healthcare settings by accurately documenting clinical interactions in real-time.This position allows medical professionals to focus on patient care while handling the documentation side of encounters.Documenting real-time patient encounters during virtual or recorded consultations using Electronic Medical...

  • Clinical Utilization Specialist

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeUtilization Full time ₱50,000 - ₱65,000

    Job OverviewWe are seeking a skilled professional to fill the role of USRN at our organization.Key ResponsibilitiesThe successful candidate will be responsible for providing high-quality patient care and meeting the needs of our clients.RequirementsNCLEX certification is required, with a valid USRN Mainland license and NMI License.At least 1 year of hospital...

  • Clinical Note Coordinator

    7 days ago

    Dumaguete, Central Visayas, Philippines beBeeMentalhealth Part time ₱25,000 - ₱35,000

    Job OverviewWe are seeking a detail-oriented and reliable individual to support mental health professionals by creating and reviewing clinical notes with the assistance of ChatGPT. The role involves accurately entering finalized notes into multiple platforms while maintaining confidentiality and consistency.Key ResponsibilitiesDraft, review, and refine...