Healthcare Utilization Specialist

Utilization Management Nurse RoleThis position is crucial in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization.

Easy and Fast One-day Hiring Process Earn up to 25k monthly plus more benefits We are looking for a Healthcare Specialist Representative in our Metro Manila Sites This is for urgent hiring, don't miss this opportunity and Apply NowResponsibilities:• Answer inquiries regarding medical services, insurance coverage, and billing• Assist patients with...

Unlock Community Knowledge as a Senior EMR/EHR ProfessionalEnshored is hiring experienced professionals with advanced knowledge of Electronic Medical Record (EMR) and Electronic Health Record (EHR) platforms.As a Senior EMR/EHR professional, you will have the opportunity to work with leading healthcare organizations, leveraging your expertise to enhance...

Job OverviewWe are seeking a Quality Manager for Healthcare to lead our team in delivering exceptional patient care.Key QualificationsAbility to work on-siteBachelor's degree in any fieldMinimum 1-3 years of management experience in QA with strong healthcare background in BPO, including US healthcare experience in areas such as prior authorization, revenue...

OverviewProduct Specialist for BD role at Getz HealthcareThe position is primarily responsible for demand creation to achieve territory sales objectives, territory management, building relationships with customers, business development, program implementation, compliance with company policies and procedures, and all administrative requirements inherent to...

OverviewCompetitive salaries and a comprehensive benefit packagePioneering AccountLocationLocation: Ortigas, PasigQualificationsAmenable to work onsiteBachelor's degree holder in any fieldMinimum of 3-5 years management level experience in QA with strong healthcare background in the BPO (e.g. prior authorization, revenue cycle management, utilization...

Seeking a skilled Medical Claims Specialist to join our team in the healthcare industry. This dynamic role involves complex claims EDI charge capture and claim submission.We are looking for someone with excellent organizational skills, attention to detail, and strong communication skills to handle day-to-day tasks efficiently.The ideal candidate will have a...

Job OverviewAs a healthcare IT professional, this role involves implementing and supporting PACS/RIS systems to enhance patient care and streamline clinical workflows.Key ResponsibilitiesDesign and deploy PACS/RIS solutions that meet the needs of healthcare providers and patients.Develop and maintain interface mappings between HIS/EMR and imaging modalities...

Are you looking for a rewarding career in healthcare support?Orbit Teleservices is hiring Customer Service Representatives to join our team as Healthcare Assistants.We are seeking highly motivated individuals who possess excellent communication skills and the ability to work effectively in a fast-paced environment.Job DescriptionProvide exceptional customer...

Utilization Review NurseThe primary role of this position is to ensure patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization.Conduct concurrent and retrospective reviews of patient clinical information to guarantee medical necessity, appropriateness, and efficiency of...