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Healthcare Utilization Manager

3 weeks ago

Manila, National Capital Region, Philippines Access Healthcare Services Full time

We're excited to introduce the role of Healthcare Utilization Manager at Access Healthcare Services. As a key member of our team, you'll be responsible for ensuring the efficient use of healthcare resources by managing medical denials, resolving charge problems, and communicating denial/appeal activity to relevant stakeholders.

We're seeking a Registered Nurse with an active license and BPO experience, who possesses strong analytical and problem-solving skills. If you're passionate about delivering high-quality patient care and are committed to excellence, we'd love to hear from you

In this position, you'll utilize your expertise to analyze data, identify trends, and develop strategies to optimize healthcare resource utilization. Your contributions will play a critical role in maintaining accurate and complete billing practices, ensuring timely reimbursement, and preventing revenue loss.

  • Key Responsibilities:
  • Analyze data and identify trends
  • Develop strategies to optimize resource utilization
  • Manage medical denials
  • Resolve charge problems
  • Communicate denial/appeal activity