Clinical Insurance Professional

Clinical Credentialing ExpertWe are seeking an experienced Clinical Credentialing Expert to manage the credentialing and re-credentialing processes for clinicians and facilities. The ideal candidate has a strong background in ABA therapy services, payer enrollment requirements, and commercial and Medicaid insurance portals.

Overall purpose, duties and responsibilities of the role:Ensures that all Eastwest Ageas Insurance Bancassurance Financial Advisors meet or exceed their performance targets by:Conducting regular sales monitoring, meetings and performance reviews with both sales team and bank partnersConducting sales and product presentations, and sales clinicsSupporting EWA...

We are seeking an experienced Authorization and Eligibility Specialist to join our team. In this role, you will be responsible for verifying insurance eligibility, benefits, exclusions, deductibles, co-pays, and co-insurance for occupational and speech therapy patients.Verify patient insurance coverage and calculate patient responsibility (worst- and...

Job Title: Healthcare Content SpecialistThis is a unique opportunity to work as a Healthcare Content Specialist and be part of a team that enhances our automated claims editing solution.The role involves conducting research and identifying medical coding and billing documents to improve the solution, which is utilized by medical insurance payers across the...

Location: Davao (Full onsite)Work schedule: Monday to Saturday (10 hours work schedule)Role OverviewThe Clinic Supervisor is responsible for overseeing the daily operations of the clinic, ensuring efficient and high-quality patient care delivery, and maintaining compliance with healthcare standards. This role involves managing clinic staff, coordinating...

As a Virtual Medical Assistant, you will support US-based doctors, nurses, and other healthcare professionals in their clinical practice. You will also provide various frontline patient services and/or back-office tasks while providing administrative support to the client's operations when needed.You will be working closely with your client doctor, their...

ResponsibilitiesVerify patient benefits and insurance coverageReactivate past patients and maintain engagementAnswer inbound calls and assist with inquiriesFollow up on appointment confirmations and remindersMake outbound calls to leads and potential patientsSchedule and reschedule patient appointments efficientlyManage electronic medical records...

Job RoleThe Clinical Operations Representative acts as the key point of contact for enterprise clients in assigned regions, ensuring exceptional delivery of clinical services across onsite and virtual channels.Responsibilities:Client Management & Reporting (30%):Serve as the primary clinical point of contact for assigned enterprise clients.Own the delivery...

Independent Clinical ReviewerWe are seeking experienced professionals to join our panel of independent clinical reviewers. As a reviewer, you will be responsible for assessing the quality and validity of manuscripts submitted to our publication.About the RoleThis is a freelance opportunity that requires individuals with a strong background in clinical...

We are seeking a highly organized and detail-oriented professional to support our customer service operations.Key Responsibilities:Provide responsive and professional customer service via email and phoneCreate and issue insurance certificates and binders using Applied Epic softwareAssist with policy updates, documentation, and client record managementEnsure...