
Regulatory Healthcare Specialist
18 hours ago
Medical Compliance Professionals Needed
Job OverviewThis role supports the regulatory compliance team in maintaining up-to-date laws, procedures, and guidelines for assigned states.
Key Responsibilities- Research and summarize data on payor guidelines to ensure compliance.
- Respond to queries with accurate information, providing clear and concise answers.
- Review and update fee schedules as required, ensuring accuracy and consistency.
- Maintain excel spreadsheets to track and analyze data.
- Perform other duties as assigned by management.
- At least 2 years of college education, preferably in a healthcare-related field.
- Experience in medical billing, preferably in Behavioral Health, is highly desirable.
- Excellent organizational skills, verbal and written communication skills, and computer proficiency are essential.
- Permanent work-from-home arrangement.
- Immediate hiring opportunity.
- Steady freelance job with opportunities for growth.
- Profit-sharing incentive.
- Paid time off.
- Holiday pay.
- Annual Performance and Raise Evaluation.
- Quarterly Perfect Attendance Incentive.
- Health Maintenance Organization (HMO) benefits.
- Loan assistance programs available.
Apply now to become part of our dynamic team and contribute to delivering top-tier services.
-
Healthcare Customer Service Representative
1 week ago
Pasay, National Capital Region, Philippines access healthcare Full time $40,000 - $60,000 per yearAbout the role As a Healthcare Customer Service Representative - Claims Specialist at access healthcare, you will be the primary point of contact for customers, providing exceptional service and support for healthcare claims processing. In this full-time role based in Pasay City, Metro Manila, you will play a vital part in ensuring a seamless and efficient...
-
Regulatory Case Specialist
15 hours ago
Pasay, National Capital Region, Philippines beBeeRegulatory Full time ₱4,500,000 - ₱7,000,000Job Title: Regulatory Case SpecialistThe Regulatory Case Specialist will be responsible for ensuring the accurate and timely processing of case data.Responsibilities: Data entry of vigilance cases in relevant databases according to relevant conventions. Quality control of vigilance cases and other documents associated with safety reports. Medical review...
-
Team Leader
1 week ago
Pasay, National Capital Region, Philippines access healthcare Full time $40,000 - $60,000 per yearAbout the role As a Team Leader - Healthcare Account at access healthcare, you will be responsible for leading and mentoring a team of customer service representatives serving clients in the healthcare sector. This full-time role is located in Taguig City, Metro Manila and will involve both supervisory and hands-on duties to ensure exceptional service...
-
Healthcare Claims Specialist
18 hours ago
Pasay, National Capital Region, Philippines beBeeClaims Full time ₱3,000,000 - ₱4,500,000Healthcare Claims SpecialistWe are seeking an organized and detail-oriented individual to join our team as a Healthcare Claims Specialist. The ideal candidate will be responsible for processing and submitting medical claims to insurance providers, ensuring timely payment and accurate reimbursement.
-
Healthcare Professional
14 hours ago
Pasay, National Capital Region, Philippines beBeeCoding Full time $60,000 - $80,000Job Title: Certified Medical Coder">">Medical Coding Specialist RoleThe professional medical coder functions under the direction of a senior coding leader. The coding specialist is responsible for accurately assigning medical codes by reviewing and analyzing medical documentation according to established coding guidelines, payer regulations, and government...
-
Team Leader End to End Claims
1 week ago
Pasay, National Capital Region, Philippines access healthcare Full time $104,000 - $130,878 per yearAbout the role As the Team Leader End to End Claims, you will be responsible for leading and managing a team of customer service representatives at access healthcare, a leading healthcare business process outsourcing (BPO) provider. In this full-time, on-site role based in Pasay City, Metro Manila, you will be overseeing the end-to-end claims processing...
-
Outpatient Medical Coder
1 week ago
Pasay, National Capital Region, Philippines access healthcare Full time $60,000 - $80,000 per yearWe are seeking a experienced Medical Coder to join our Revenue Integrity Team.The ideal candidate will have a deep understanding of coding guidelines, payer policies, and compliance regulations, ensuring accurate documentation and maximized reimbursements.Work Set-up:WFH after trainingKey Responsibilities:Review clinical documentation to assign accurate...
-
Utilization Review Nurse
9 hours ago
Pasay, National Capital Region, Philippines Access Healthcare Full time ₱40,000 - ₱45,000 per yeare are seeking a detail oriented and experienced Registered Nurse (RN) to join our TEAM as a Virtual Utilization Review Nurse.You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case managers, and...
-
Registered Nurse
10 hours ago
Pasay, National Capital Region, Philippines Access Healthcare Full time ₱40,000 - ₱45,000 per yeare are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse.You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...
-
Clinical Documentation Improvement
1 week ago
Pasay, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time $60,000 - $80,000 per yearAccess Healthcare is looking for highly skilled and detail-oriented Clinical Documentation Improvement (CDI) Specialists to join our dynamic pioneer medical coding team. The ideal candidate will play a pivotal role in enhancing the quality and accuracy of clinical documentation to support optimal patient care and compliance with regulatory standards. Key...