Clinical Authorization Representative
4 days ago
Med-Metrix, LLC is committed to providing high-quality healthcare services to our patients. To achieve this goal, we need talented professionals like you to join our team. As a Clinical Authorization Representative, you will play a critical role in ensuring that our patients receive timely and effective access to healthcare services.
The ideal candidate will have a strong understanding of managed care insurance and regulatory guidelines, as well as excellent communication and problem-solving skills. Proficiency in MS Office, particularly Excel, is also essential. Additionally, knowledge of medical terminology and CPT codes is a plus.
Your primary responsibility will be to work effectively with insurance companies to obtain pre-certification for services. This involves placing calls, faxing requests, and maintaining accurate records. You will also be responsible for reviewing claim denials, verifying medical insurance information, and accurately entering patient data into our computer system.
We offer a competitive compensation package, comprehensive benefits, and opportunities for growth and development. If you are a motivated individual with a passion for delivering exceptional patient care, we encourage you to apply.
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Clinical Nurse Auditor
3 weeks ago
Pasig, National Capital Region, Philippines VISAYA KPO Full timeQualification Education: Bachelor's Degree in Nursing License / Certification: PH Registered Nurse Experience: Clinical authorizations, medical records and customer service Language: Fluent English verbal and written communication Special Skills: Microsoft Office Job responsibilityKey Responsibilities Works with the Eligibility Enrollment Specialist to...
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Clinical Applications Specialist 2
21 hours ago
Pasig, National Capital Region, Philippines Polytechnic University of the Philippines Full timeThe Clinical Applications Specialist (CAS) is responsible for providing professional support to our medical device sales team. The support takes on many forms and shapes, ranging from technical support with our devices/equipment to clinical application questions across a wide range of indications, to product training and application support online or...
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Medical Authorization Coordinator
4 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeAt Med-Metrix, LLC, we are seeking a highly skilled Precertification Specialist to join our dynamic team. As a key member of our organization, you will play a critical role in ensuring seamless healthcare services for our patients.The ideal candidate will have a minimum of 2-3 years of experience in the healthcare industry, with a strong understanding of...
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Precertification Specialist
4 days ago
Pasig, National Capital Region, Philippines Med-Metrix, LLC Full timeMed-Metrix, LLC is a leading provider of innovative solutions in the healthcare industry. We are currently seeking a highly skilled Clinical Authorization Representative to join our team. As a key member of our organization, you will play a critical role in ensuring that our patients receive timely and effective access to healthcare services.The ideal...
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Healthcare Operations Manager
6 days ago
Pasig, National Capital Region, Philippines VISAYA KPO Full timeJob DescriptionVISAYA KPO seeks a skilled Clinical Nurse Auditor to join our team. In this role, you will collaborate with the Eligibility Enrollment Specialist to acquire client referrals and review medical records to ensure accurate authorization. Additionally, you will be responsible for maintaining up-to-date documentation of case and account statuses...
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Medical Sales Representative
3 days ago
Pasig, National Capital Region, Philippines Alcon MX Full timeMedical Sales Representative - Surgical (Visayas)Medical Sales Representative - Surgical (Visayas)Apply locations: Pasig City, PhilippinesTime type: Full timePosted on: Posted 30+ Days AgoTime left to apply: End Date: March 31, 2025 (30+ days left to apply)Job requisition id: R-2025-37315At Alcon, we are driven by the meaningful work we do to help people see...
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phrn
1 week ago
Pasig, National Capital Region, Philippines PRIVATE ADVERTISER Full timeResponsibilities:-Provide support to the clinical team and client team.-Determine customer eligibility by reviewing contractual language and medical documentation.-Assess medical appropriateness of claims submitted, and adjust claims as needed.-Pay all covered claims accurately and timely.-Manage both new claims and open claims equally and maintains decision...
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Medical Sales Representative
3 days ago
Pasig, National Capital Region, Philippines Alcon MX Full timeMedical Sales Representative - Surgical (Mindanao)Apply locations Pasig City, Philippines time type Full time posted on Posted 30+ Days Ago time left to apply End Date: March 31, 2025 (30+ days left to apply) job requisition id R-2025-37316At Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion...
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phrn
1 week ago
Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full timeResponsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally and...
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Clinical Sales Specialist
4 days ago
Pasig, National Capital Region, Philippines Ritegroup Incorporated Full timeRitegroup Incorporated is a professional organization that offers high-quality hospital, medical, and laboratory products to help hospitals achieve their goal of providing the best patient care and health.The PositionWe are seeking a Medical Sales Representative to identify business opportunities, create business growth, and maintain business relationships...
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Customer Service Representative
2 weeks ago
Pasig, National Capital Region, Philippines Lexie Staffing and Business Consulting Full timeQualifications: • An active PHRN - Licensed (PH only) • with 1 year hospital experience • Direct Patient Care Experience or as Company / Clinic Nurse with COE• Good communication skills• Available ASAPBenefits: - SIGNING BONUS: 30k- 30k basic pay + 1k flex fund allowance- 20% Night differential- HMO coverage for employee upon Day 1 and HMO...
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Medical Sales Representative
4 weeks ago
Pasig, National Capital Region, Philippines Alcon Full timeAt Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in the lives of our patients...
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phrn
4 weeks ago
Pasig, National Capital Region, Philippines ManpowerGroup Full timeResponsibilities:Provide support to the clinical team and client team.Determine customer eligibility by reviewing contractual language and medical documentation.Assess medical appropriateness of claims submitted, and adjust claims as needed.Pay all covered claims accurately and timely.Manage both new claims and open claims equally and maintain decision...
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phrn
4 weeks ago
Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full timeResponsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally and...
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Medical Sales Representative
4 weeks ago
Pasig, National Capital Region, Philippines Alcon Full timeAt Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in the lives of our patients...
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Eye Care Solutions Consultant
3 days ago
Pasig, National Capital Region, Philippines Alcon MX Full timeWe are seeking a highly motivated and experienced sales professional to join our team at Alcon MX. As a Surgical Medical Representative, you will be responsible for promoting and selling ophthalmic surgery-related devices across multiple clinical sales channels. This is an exciting opportunity to join a dynamic team and contribute to the success of our...
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Polytechnic University Medical Support Expert
18 hours ago
Pasig, National Capital Region, Philippines Polytechnic University of the Philippines Full timeQualifications and RequirementsTo be successful in this role, you will need to possess the following qualifications and meet the requirements outlined below:Bachelor's Degree in Nursing, Medical Technology, Radiologic Technology, or equivalent.Minimum 5-7 years' experience in business development, specializing in medical devices/products/equipment industry,...
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Medical Sales Representative
4 weeks ago
Pasig, National Capital Region, Philippines Alcon Full timeAt Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care.You'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in the lives of our patients and...
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Pasig, National Capital Region, Philippines Philcare Pharma Inc. Full timeJob OverviewPhilcare Pharma Inc. is seeking a highly skilled Medical Sales Associate to join our team. As a Medical Sales Associate, you will be responsible for promoting and selling medical products to healthcare professionals, hospitals, and clinics.Key ResponsibilitiesPromote and sell medical products to healthcare providers within an assigned...
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Professional Medical Representative
2 days ago
Pasig, National Capital Region, Philippines Philcare Pharma Inc. Full timeOn-site - Pasig 1-3 Yrs Exp Bachelor Full-timeJob DescriptionDescriptionPosition Overview:The Medical Sales Associate (MSA) is responsible for promoting and selling medical products and services to healthcare professionals, hospitals, clinics, and other medical facilities. The role requires a deep understanding of the medical products being sold, the...