Senior Clinical Claims Specialist

Job Title: Clinical Nurse Specialist - Accidental ClaimsAbout the Role: We are seeking a highly skilled Clinical Nurse Specialist to join our team at TASQ Staffing Solutions. As a key member of our staff, you will be responsible for handling accidental claims with exceptional attention to detail and organizational skills.Job Responsibilities: Your primary...

Role Summary: We are seeking a skilled RN Clinical Specialist to join our team at Gratitude Philippines. In this role, you will be responsible for handling clinical appeals and denials for healthcare insurance claims.Key Responsibilities:Review and evaluate clinical appeals and denials for healthcare insurance claimsUtilize clinical expertise to make...

Job DescriptionGratitude Philippines is seeking a highly skilled Senior Quality Assurance Specialist to join our team. This role will be responsible for ensuring the highest standards of quality in our clinical services.About the RoleWe are looking for a dedicated professional with strong clinical expertise and a passion for quality assurance. As a Senior...

Job Title: Clinical Excellence SpecialistJob Summary:We are seeking a Clinical Excellence Specialist to join our team at Gratitude Philippines. The successful candidate will be responsible for carrying out quality assurance oversight activities, conducting regular reviews of managed care internal and external claim files, and analyzing quality assurance...

Job Title: Clinical Utilization Review SpecialistAbout the Role:Gratitude Philippines is seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a key member of our Utilization Review team, you will be responsible for reviewing treatment authorization requests based on state guidelines and medical necessity.Key...

OverviewThe Manpower Core Group Inc. seeks a skilled Clinical Telephonic Nurse Specialist to provide exceptional patient care and support via telephone assessments, health advice, and referrals.Key Responsibilities:Performing intake of phone calls from injured employees to provide timely and effective assistance.Conducting telephonic health assessments,...

At TASQ Staffing Solutions, we are committed to providing exceptional staffing solutions to our clients. As a Senior Clinical Coding Specialist, you will play a critical role in ensuring the accuracy and quality of medical coding services.Job OverviewWe are seeking a highly skilled and experienced Medical Risk Adjustment Consultant to join our team. In this...

Job Title: Claims Specialist - Night ShiftCompany OverviewTASQ Staffing Solutions is a leading provider of staffing solutions, dedicated to delivering exceptional talent to the industry.SalaryThe estimated salary for this position is PHP 80,000 - 100,000 per annum, depending on experience and qualifications.Job DescriptionWe are seeking an experienced Claims...

Job Title: BPO Utilization ReviewerSummary:The Clinical Review Nurse position is responsible for assessing the medical appropriateness of proposed treatments and medications for our injured employees. This role partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim, while maintaining a solid understanding of...

OverviewTASQ Staffing Solutions is hiring a Claims Processing Specialist to join our team. In this role, you will be responsible for processing insurance claims in a fast-paced and dynamic environment.SalaryThe estimated salary for this position is between $2,500-$3,000 per month, depending on experience.Job DescriptionAs a Claims Processing Specialist, you...

Job Title: Clinical Coding SpecialistAbout the Role:We are seeking a skilled Clinical Coding Specialist to join our team at TASQ Staffing Solutions.Key Responsibilities:The successful candidate will be responsible for performing accurate and timely coding of patient records, ensuring compliance with industry standards and regulations.Requirements:To be...

We are seeking a highly skilled Clinical Laboratory Specialist to join our team at Wellnostics Inc. in the Philippines. This is an exciting opportunity for individuals who want to make a difference in the healthcare industry.About UsWellnostics Inc. is a leading provider of diagnostic services that empower individuals to take charge of their well-being. Our...

Gratitude Philippines: A Leader in HealthcareWe are seeking a skilled Clinical Utilization Specialist to join our team in Taguig. As a key member of our healthcare team, you will play a vital role in reviewing and managing healthcare utilization.About the RoleUtilization Management Review:Clinical Appeals and Denials Handling for Healthcare...

Manpower Core Group Inc. is seeking a skilled Clinical Utilization Specialist - Medical Case Manager to join our team in BGC. This role plays a vital part in ensuring that employees receive the necessary medical care and support to return to work.About the Role:This position involves conducting thorough reviews of treatment authorization requests based on...

Job SummaryWe are seeking a skilled Nursing Claims Specialist to join our team in a night shift role. As a key member of our team, you will be responsible for managing accidental claims and ensuring timely completion of tasks.Key ResponsibilitiesAccidental Claims Management: Work with claims to a stopping point when pulled and follow the 10-day letter...

We are seeking a skilled Senior Claims Professional to join our team at TASQ Staffing Solutions.**Job Summary:**This role offers the chance to work in a hybrid setup, with three days onsite at our McKinley, Taguig location and two days working from home. As a Senior Claims Professional, you will be responsible for handling claims-related tasks, ensuring...

We are looking for a skilled logistics claim specialist to join our team at Neksjob Philippines.About the RoleThis is an exciting opportunity for a highly motivated and experienced individual to take on a challenging role in our company.The successful candidate will be responsible for handling logistics claims, ensuring timely resolution and providing...

OverviewGratitude Philippines is a reputable healthcare organization seeking a skilled Clinical Utilization Specialist to join our team. This role plays a crucial part in ensuring the efficient use of medical resources and promoting high-quality patient care.

Job SummaryWe are seeking an experienced Advanced Clinical Nurse Specialist to join our team at Gratitude Philippines. In this role, you will utilize your expertise in utilization management review and clinical appeals and denials handling for healthcare insurance/ UMRS.About the RoleThis is a full-time position that requires flexible shifts, with a...

About the RoleWe are seeking a highly skilled and experienced Customer Service Representative to join our team as an Insurance Claim Specialist at TASQ Staffing Solutions.Key ResponsibilitiesThe successful candidate will be responsible for handling customer inquiries, resolving claims-related issues, and providing exceptional service to...