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...

Key Responsibilities:- Collaborate with experienced clinical professionals to develop and implement effective appeals strategies for denied claims.- Utilize in-depth knowledge of MCG/InterQual criteria to craft compelling appeals that drive successful outcomes.- Work closely with the team to ensure seamless communication and efficient workflow.Requirements:-...

Job Requirements:- Possess a strong clinical background with at least 3 years of experience as a PHRN/USRN.- Proven track record of writing effective appeals for denied claims in the I/OP setting.- In-depth knowledge of MCG/InterQual criteria is essential for success in this role.Work Environment:- Willingness to work on-site and adapt to a night shift...

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...

Clinical Denials and Appeals NurseWe are an analytics-driven, technology-enabled revenue cycle management company looking for a skilled Clinical Denials and Appeals Nurse with at least 1 year of relevant BPO experience. The ideal candidate will have a PHRN license, 6 months of hospital experience, and be willing to work a night shift...

Job Requirements:- A PHRN/USRN with at least 3 years of clinical experience is required for this role.- The ideal candidate will have solid appeals writing experience for denied claims (I/OP).- Knowledge of MCG/InterQual criteria is essential for success in this position.- The successful candidate will be willing to work onsite and on night shift...

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...

Recover revenue and drive process improvement as a Clinical Denials Clinician in a healthcare setting.Responsibilities include:Providing expertise to non-clinical personnel on clinical mattersCollaborating with leadership to develop and implement process improvementsAssisting in the development of policies and proceduresReviewing medical necessity cases and...

Key Requirements:- Possess at least 3 years of clinical experience as a PHRN/USRN.- Demonstrate strong appeals writing skills for denied claims (I/OP).- Possess in-depth knowledge of MCG/InterQual criteria.Working Conditions:- Willingness to work onsite and adapt to a night shift schedule.Interested in this role?Learn more about our company culture and apply...

Clinical Denials Clinician recovers revenue through intelligent investigation of disputed claims, verifying eligibility, and preparing appeals based on industry-accepted criteria. They synergize with the Denials team on processes and best practices. Responsibilities include serving as a resource, providing process improvements, and performing medical...

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...

Job Title: Clinical Nurse Data AnalystWe are seeking a highly skilled Clinical Nurse Data Analyst to join our team at RecruiterPH. As a key member of our team, you will be responsible for collaborating with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of...

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...

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

Job Title: Clinical RecruiterRippedboxstation is seeking a skilled Clinical Recruiter to join its dynamic healthcare recruitment team.Key Responsibilities:Partner with the Director of HR and Recruiting to develop effective recruitment strategies.Source candidates through job boards, social media, networking events, and nursing schools.Screen resumes and...

Job Overview:We are seeking a dedicated and experienced Clinical Recruiter to join our dynamic healthcare recruitment team. In this role, you will be responsible for sourcing, screening, and hiring qualified nursing professionals to meet the staffing needs of our clients. Your expertise in understanding the nuances of nursing roles and the landscape will be...

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...

MetaHealth is seeking a skilled Registered Nurse to join our team in Manila. The ideal candidate will have 2 years of clinical experience and a strong background in healthcare. The role offers a competitive salary of 37,675 plus a 3,000 bonus based on performance, as well as a comprehensive benefits package including HMO and 22 paid leaves. The position is a...

About RippedboxstationWe are a dynamic healthcare recruitment team seeking an experienced Clinical Recruiter to join our team. As a dedicated and skilled professional, you will be responsible for sourcing, screening, and hiring qualified nursing professionals to meet the staffing needs of our clients.

Competitive compensation and benefits packages, continuous professional development and learning opportunities, and regular engagement activities and events.We are looking for an RN-Clinical Informaticist to work for our global clients and immerse in our rich and diverse company culture. The role involves providing leadership and collaborating with nursing...