Medical Appeals Specialist

Job Requirements:- 3+ years of clinical experience as a PHRN/USRN.Key Responsibilities:- Developing and writing appeals for denied claims (I/OP) with expertise in MCG/InterQual criteria.Essential Skills:- Willingness to work onsite and on a night shift schedule.How You'll Make a Difference:As a skilled nurse appeals writer, you will play a critical role in...

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 Prior AuthorizationAbout the RoleAt Med Supply US, we are seeking a highly skilled Medical Prior Authorization Specialist to join our team. This role plays a crucial part in ensuring that medical services and procedures are approved by insurance companies before they are rendered.Key ResponsibilitiesPrior Authorization Management: Review...

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...

Job DescriptionWe are seeking a skilled Prior Authorization Specialist to join our team at Med Supply US. As a key member of our healthcare access team, you will play a crucial role in ensuring that medical services and procedures are approved by insurance companies.Key Responsibilities:Prior Authorization Management: Review medical service requests, gather...

GECO Philippines is seeking a skilled Medical Coding Specialist to join our team.As a Medical Coding Specialist, you will play a crucial role in assigning diagnosis codes according to the Official ICD-10-CM Guidelines for Coding and Reports. You will conduct thorough reviews of charts, utilizing computer-assisted coding tools to interpret medical records and...

About Accustandard Medical and Diagnostic SuppliesWe are a leading provider of medical and diagnostic equipment, seeking an experienced Account Specialist to join our team in the National Capital Region (NCR). Estimated Salary: ₱30,000 - ₱50,000 per monthThis role offers a competitive salary package, including a 13th-month pay, commission pay, overtime...

About RippedboxstationWe are a dynamic company seeking a skilled Medical Support Specialist to join our team. As a key member of our staff, you will play a vital role in ensuring the smooth operation of our medical services.

We are looking for a Medical Care Specialist to join our team at JOB MATCHMAKER. This is an excellent opportunity for a qualified candidate who has experience in Surgical Procedures.Company Overview: JOB MATCHMAKER is a reputable organization dedicated to providing top-notch medical services. Our team of experts works tirelessly to ensure that our patients...

Job Summary: We are seeking a highly skilled Prior Authorization Specialist to join our team at Med Supply US. The successful candidate will be responsible for ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed.

We are seeking a skilled Medical Care Specialist to join our team at Job Matchmaker. The ideal candidate will have a strong background in nursing and experience in surgical procedures.About the RoleThis is an exciting opportunity for a motivated professional to take on a challenging role and contribute to the success of our organization. As a Medical Care...

Job OverviewWe are seeking a highly skilled Medical Specialist to join our team at JOB MATCHMAKER. As an Associate Physician, you will be responsible for delivering exceptional patient care and providing aesthetic training experience.About the RoleCandidates with 5 years of training bond are encouraged to apply.Newly Board Passer are welcome to apply.Key...

Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team at Career Professionals, Inc. as a Medical Care Specialist.About the RoleThis is a full-time position that requires the administration of ECG, BP, and other medical services for Pre-employment (PE), Annual Physical Examinations, and consultations.Key...

We are seeking an experienced Outpatient Medical Coding Specialist to join our team at Visage Executive Search. This role is based in Manila, Philippines and offers a competitive salary package.As an Outpatient Medical Coding Specialist, you will be responsible for reviewing claims for errors and rejections, ensuring accuracy and completeness of coding data....

Remote Clinical Support OpportunityWe are seeking a compassionate Medical Support Specialist to provide top-tier patient support in a remote setting.The role involves ensuring patients have a smooth, empathetic experience, working closely with our team to optimize care and support.Main Responsibilities:Provide outstanding patient support via phone...

Job OverviewSOURCETECH SOLUTIONS INC. is seeking a highly skilled Medical Administration Specialist to manage day-to-day healthcare administration tasks, ensuring efficiency and compliance with industry standards.Key ResponsibilitiesLiaise with key stakeholders for the administration of Health Plan, Insurance Coverage, and Dental Program, coordinating...

Rippedboxstation is seeking a highly skilled Medical Records Review Specialist to join our team.The estimated salary for this position is $45,000 - $60,000 per year, based on the national average for similar roles.Job Description:We are looking for a detail-oriented and analytical individual to review medical information, analyze cases, and perform quality...

We are seeking an experienced Electronics Specialist to join our team at SOSAJB Property Management Corp. and contribute to the efficient operation of our facilities at Makati Medical Center.Makati Medical Center is a leading medical facility that requires highly skilled professionals like you to maintain its electronic systems, specifically radio and...

Career Opportunity at Cathy Valencia Advanced Skin ClinicWe are seeking a highly skilled and experienced Senior Medical Dermatology Specialist to join our team at Cathy Valencia Advanced Skin Clinic.About the Role:This is a full-time position responsible for providing high-quality medical services to clients, including checking diseases of the skin, hair,...