Clinical Denials and Appeals Specialist

Job Title: AR Complex Clinical Denials SpecialistAt Visaya KPO, we are seeking a highly skilled and experienced AR Complex Clinical Denials Specialist to join our team.Key Responsibilities:Verify and obtain eligibility and/or authorization using payer websites, client eligibility systems, or via phone with insurance carriers/providers.Update patient...

Job OverviewWe are seeking an experienced Clinical Denials Specialist to join our team at Visaya KPO. The successful candidate will be responsible for managing medical collections and denials, ensuring timely payments and resolving claims efficiently.About the RoleThis is a full-time position based in Ortigas, Pasig City, with opportunities for career growth...

Job Title: Medical Insurance Recovery RepresentativeThe Medical Insurance Recovery Representative at Visaya KPO plays a crucial role in the timely collection of outstanding government or commercial healthcare insurance receivables.Responsibilities:Verify patient eligibility and/or authorization for healthcare services by searching payer web sites or client...

Job DescriptionThe Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.Key Responsibilities:Verify patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare accounts receivable team, you will be responsible for verifying patient eligibility, obtaining authorizations, and resolving claims denials.Key ResponsibilitiesVerify patient eligibility and obtain...

Job Title: Medical Collections Team LeadJob SummaryWe are seeking a highly skilled Medical Collections Team Lead to join our team at Visaya Knowledge Process Outsourcing Corp. The ideal candidate will have a strong background in medical billing and collections, with experience in team leadership and management.Key ResponsibilitiesLead a team of medical...

Job Description:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya KPO. In this role, you will work closely with the Eligibility Enrollment Specialist to obtain referrals from our clients and review medical records to validate authorization requirements.You will utilize Savista's client host system to document case and updated account...

Key ResponsibilitiesCollaborates with the Eligibility Enrollment Specialist to obtain referrals from Savista's clients.Reviews medical records to validate the required authorization.Utilizes Savista's client's host system to document case and updated account statuses when applicable.Checks authorization statuses through state or payor portals.Education:...

Key ResponsibilitiesCollaborate with Eligibility Enrollment Specialists to secure referrals from Savista's clients.Verify medical records to validate required authorizations.Document case and updated account statuses in Savista's client host system when applicable.Utilize state or payor portal to check authorization statusesRequirements:Bachelor's Degree in...

We are seeking an experienced Senior Accounts Receivable Specialist to join our team at TASQ Staffing Solutions. Based in Pasig City, this role requires a strong understanding of the US Healthcare revenue cycle and its intricacies.As a Senior Accounts Receivable Specialist, you will be responsible for managing AR follow-up and denials. Your excellent...

Job Title: AR Specialist - Healthcare AccountAbout the Role:We are seeking a skilled AR Specialist - Healthcare Account to join our team at Visaya Knowledge Process Outsourcing. As an AR Specialist - Healthcare Account, you will be responsible for verifying eligibility and authorizing medical claims, updating patient demographics and insurance information,...

**Job Overview**We are seeking a highly skilled and experienced Account Receivables Specialist to join our team at TASQ Staffing Solutions. The successful candidate will have a strong background in AR follow-up and denials management, with excellent analytical and comprehension skills.**Responsibilities**Conduct thorough analysis of accounts receivable data...

Are you a detail-oriented professional with experience in medical collections and denials? We are seeking a Medical Claims Analyst to join our team at Visaya Knowledge Process Outsourcing in Ortigas, Pasig City. About the RoleWe are looking for an experienced Medical Claims Analyst to work onsite in Ortigas, Pasig City. As a Medical Claims Analyst, you will...

TASQ Staffing Solutions is seeking a skilled AR Caller / Sr. AR Caller/AR Specialist to join their team in Pasig City. The ideal candidate will have a strong background in AR Follow-up and Denials Management, with a minimum of 1 year of experience. Additionally, they should possess excellent analytical and comprehension skills, as well as a good...

Cash Remittance Specialist Job DescriptionVisaya KPO is seeking a highly skilled Cash Remittance Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring the accurate and timely processing of cash remittances.Key Responsibilities:Print daily lockbox images and bank statements.Review insurance explanation of...

Preferred Skills, Education and Experience: • Any graduate degree from a reputable institution • Excellent communication skills and a strong command of the English language • At least 1 year of experience in AR Follow-up and Denials Management • In-depth understanding of the US Healthcare revenue cycle and its complexities • Strong analytical...

Job DescriptionWe are seeking a skilled and detail-oriented Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare compliance team, you will play a critical role in ensuring the accuracy and integrity of medical records.Key Responsibilities:Collaborate with Eligibility Enrollment Specialists to...

Loan Application SpecialistWe are seeking a highly skilled and motivated Loan Application Specialist to join our dynamic team at LeadAdvisors. As a leading financial institution, we provide excellent financial services to our customers.Key Responsibilities:Handle inbound inquiries from US consumers about personal financingEfficiently complete quick personal...

Job Title: Refund Specialist - InsuranceThe Refund Specialist-Insurance is a key member of our revenue cycle team, responsible for reviewing accounts, identifying insurance overpayments and credit balances, and ensuring that refunds are issued in accordance with current policies and procedures.Key Responsibilities:Review refund and overpayment requests from...

At Solid Lyndelle Manpower Services Inc., we're seeking a highly skilled Healthcare Compliance Specialist to join our team. This role is perfect for a registered nurse with CIC/CCS certification and prior auditing/DRG experience, who's passionate about ensuring the highest standards of patient care.The ideal candidate will have extensive knowledge of US...