Clinical Nurse Appeals Specialist

Job DescriptionWe are seeking a Clinical Nurse Appeals Writer to join our team at Dencom Consultancy.About the RoleThis is a unique opportunity for a dedicated and experienced nurse to leverage their clinical expertise in appeals writing, working closely with our team to resolve denied claims.The ideal candidate will possess a strong understanding of...

About the RoleWe are seeking a highly skilled Clinical Nurse Appeals Writer to join our team at Dencom Consultancy.Key ResponsibilitiesDevelop and implement effective appeals strategies for denied claimsCollaborate with clinical experts to review medical records and determine the best course of actionWrite clear and concise appeals letters that meet...

Job Title: Medical Appeals SpecialistWe are seeking a skilled Clinical Nurse Appeals Writer to join our team at Dencom Consultancy.About the Role:As a Clinical Nurse Appeals Writer, you will be responsible for writing appeals for denied claims. You must have at least 3 years of clinical experience and solid knowledge of MCG/InterQual criteria.Key...

Job Description**Summary:** Clinical Denials and Appeals Nurse with 1+ year BPO experience, PHRN license, and 6+ months hospital experience, willing to work onsite at McKinley West, Taguig, on a night shift schedule.**Responsibilities:*** Review inpatient and/or outpatient medical necessity and authorization denials to determine validity.* Conduct...

About UsAt Field Innovators Inc., we strive to revolutionize the healthcare industry with innovative solutions.Job OverviewWe are seeking a highly motivated Clinical Care Specialist to join our team. This role offers a unique opportunity to work in a dynamic environment and contribute to the growth of our organization.CompensationThe estimated annual salary...

We are seeking a highly skilled Clinical Improvement Specialist to join our team at Staffing Science Expert Inc.About the RoleThis is an exciting opportunity for a seasoned clinical professional to lead quality improvement initiatives and drive excellence in patient care. As a key member of our team, you will be responsible for developing and implementing...

Job SummaryWe are seeking an experienced Quality Assurance Nurse to join our team at Staffing Science Expert Inc. as a Clinical Excellence Specialist. This is a unique opportunity for a motivated professional to make a real impact on patient care and quality outcomes.About the RoleThe Clinical Excellence Specialist will play a critical role in ensuring that...

We are seeking a Registered Nurse with active license, at least 1 year of hospital bedside experience, and strong communication skills. Key advantages: Denials and Appeals writing experienceHealthcare BPO experienceBenefits of joining us:HMO on day 1Annual salary appraisalNon-taxable allowance20% night differentialFree shuttle service

About the RoleWe are seeking a skilled Clinical Healthcare Specialist to join our team at MetHealth PH. This is a unique opportunity for a Registered Nurse to work in a voice and non-voice setting, leveraging their expertise to deliver high-quality patient care.Key ResponsibilitiesActive PRC licensure and at least 1 year of clinical experience are...

**About ACCPRO International**We are a leading provider of exceptional healthcare services, dedicated to delivering high-quality patient care and fostering a dynamic work environment.**Competitive Salary Package**Our competitive salary package includes an estimated monthly salary range of PHP 50,000 - 70,000, commensurate with experience.**Job...

Job RequirementsWe are seeking a skilled Clinical Nurse to join our team at ACCPRO International. To be successful, you will have a Graduate degree in BS Nursing and a minimum of 1 year of experience in a Clinical Setting. Preferably, you will have experience in Healthcare or Insurance disability claims. You must also have an Active PRC license.Key...

Clinical Nurse PositionWe are seeking a dedicated and compassionate Clinical Nurse to join our team at Solid Lyndelle Manpower Services Inc. This is an exciting opportunity for a healthcare professional looking to work in a clinical setting, providing top-notch patient care and working closely with experienced doctors and other healthcare providers.Job...

About the RoleWe are seeking a skilled Nurse Case Manager to join our team at RecruiterPH. As a key member of our healthcare solutions team, you will collaborate with healthcare providers and members to promote quality member outcomes, optimize benefits, and promote effective use of resources.Job SummaryThe successful candidate will have a strong background...

Job SummaryWe are seeking a skilled Clinical Relationship Specialist to join our team at Career Professionals Inc.Key Responsibilities:Establish Trust and Rapport: Build strong relationships with healthcare clients, ensuring they feel comfortable and valued.Procedure Explanation: Clearly explain clinic procedures and keep clients informed about their...

Job OverviewWe are seeking a highly skilled Senior Nurse Care Coordinator US to join our team at RecruiterPH. As a key member of our staff, you will play a vital role in delivering exceptional patient care and ensuring the highest level of service.About the RoleThe Senior Nurse Care Coordinator US will be responsible for coordinating patient care activities,...

RecruiterPH is seeking a highly skilled Care Management US RN Data Analyst to join our team.About the RoleWe are looking for a seasoned Registered Nurse with experience in clinical settings, excellent communication skills, and proficiency in basic computer knowledge.The successful candidate will work closely with healthcare providers and members to promote...

About Our ClinicACTFA Medical & Laboratory Diagnostics is a reputable medical facility dedicated to providing exceptional patient care and advanced diagnostic services. We are seeking a skilled Registered Nurse to join our team of healthcare professionals.Job SummaryWe are looking for a highly motivated Registered Nurse to work in a fast-paced medical...

About the RoleWe are seeking a skilled Registered Nurse to join our team at MetHealth PH. As a Clinical Healthcare Professional, you will be responsible for providing high-quality patient care and support in a voice and non-voice environment.Key Responsibilities:Active PRC and at least 1 year of clinical experienceWork from home with onsite training and...

About MyCareer+: A Pioneering Force in NeurotechnologyAt the forefront of a revolution that is transforming the healthcare landscape, we are shaping the future with innovative treatments for some of the world's most debilitating conditions.Our Dynamic Role: Clinical Support and Patient Experience SpecialistWe are seeking a highly skilled Clinical Support and...

Company Overview:">Med Supply US is a prominent medical equipment provider, specializing in durable products like continuous glucose monitors and catheters. Our mission is to enhance the quality of life for patients with chronic conditions by delivering top-tier products and exceptional service.Job Summary:">We are seeking a detail-oriented Provider...