Clinical Authorizer

Position SummaryThe Clinical Task Coordinator (CTC) plays a crucial role in streamlining communication and coordination across various departments in a healthcare setting. They manage clinical tasks through the EHR system, oversee medication prior authorizations, and handle patient phone calls or inquiries, directing them to the appropriate staff. This role...

About the Role:We are seeking a Clinical Coordinator to join our team. The successful candidate will be responsible for providing clinical support to healthcare facilities and insurance companies. This includes coordinating preauthorizations, managing documentation, and following up on authorization requests.Responsibilities:Preauthorization Coordination:•...

About the PositionThe Private Advertiser is seeking a Care Coordination and Clinical Reviewer to join our team. In this role, you will be responsible for reviewing evaluations, plans of treatment, progress notes, and other clinical documentation within turnaround time.Key ResponsibilitiesClinical Documentation Review: Review evaluations, plans of treatment,...

What You'll Be Doing:As a Pharmacy Support Professional, you will be responsible for providing clinical support to healthcare facilities and insurance companies. This includes coordinating preauthorizations, managing documentation, and following up on authorization requests.Responsibilities:Coordination with Billing Teams:• Deliver all preauthorization...

Job DescriptionWe are seeking a highly skilled Medical Authorization Specialist to join our team at Med-Metrix International PH-I, Inc. As a key member of our organization, you will play a vital role in ensuring seamless communication with insurance companies to obtain pre-certifications and authorizations for medical services.In this dynamic position, you...

Experience these Xtraordinary benefits when you join Med-Metrix8-Hour Shifts, Fixed Weekends OffDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowanceFree Lunch DailyPaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityThe Prior Authorization...

Job OverviewAs a key member of our team at Med-Metrix, you will play a crucial role in ensuring the smooth operation of our healthcare services. This includes obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies.Key ResponsibilitiesWork effectively with insurance companies to obtain...

Access Healthcare is looking for a Utilization and Clinical Denials Nurse to join our growing clinical account. The ideal candidate is a Licensed Philippines Nurse with at least one (1) year of hospital bedside experience and a strong understanding of utilization review, clinical documentation, and denial management in a BPO set-up. This role involves...

About the RoleWe are seeking a Healthcare Operations Coordinator to join our team. The successful candidate will be responsible for overseeing and providing approval for prior letter of guarantee, prior authorization, and letter of authorization issuance.Main ResponsibilitiesKey Tasks:Evaluate and review claims for reimbursement of healthcare accountsApprove...

On-site - Manila 3-5 Yrs Exp Diploma Full-timeJob DescriptionJoin our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-MetrixExperience these exceptional benefits when you...

Job OverviewOzonMed Wellness Clinic Inc. is seeking a highly skilled and compassionate Clinical Healthcare Specialist to join our team.Key ResponsibilitiesMinimum 1-2 years experience in hospitalHighly skilled in IV InsertionConscientious, self-starter, compassionate, and has a caring attitudeThe ideal candidate will be able to work effectively in a...

Clinical Application Specialist - Radiologic TechnologistJoin to apply for the Clinical Application Specialist - Radiologic Technologist role at Pacific Surgical, Inc.Pacific Surgical Inc.Pacific Surgical was founded in 2005 as a medical device and equipment distributor focused on providing Filipino patients and surgeons with access to the best possible...

Job ResponsibilitiesReview Evaluations, plan of treatments, progress notes, and other clinical documentation within turn-around time.Responsible for calling home health agencies to discuss authorization requests.Works all special reports and tasks distributed by a supervisor/manager.Reviews and responds to any requests from clients, providers, home health...

Join to apply for the Clinical Application Specialist role at Pacific Surgical, Inc.Our CompanyPacific Surgical, formerly Pacific Spine, was founded in 2005 as a medical device and equipment distributor focused on providing Filipino patients and surgeons with access to the best possible surgical technology. Originally focused solely on the Orthopedic Spine...

The Company Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting...

Beneath the umbrella of Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.), we are seeking a skilled Pre-Authorization Nurse to join our team.Key Responsibilities:We require a highly skilled nurse who will be responsible for the pre-authorization of in-patient treatments and ensuring cost containment through efficient adjudication and...

About the JobWe are seeking a Healthcare Operations Specialist to join our team. In this role, you will be responsible for reviewing evaluations, plans of treatment, progress notes, and other clinical documentation within turnaround time.Key ResponsibilitiesClinical Documentation Review: Review evaluations, plans of treatment, progress notes, and other...

Job DescriptionThe Private Advertiser is seeking a highly skilled Medical Care Coordinator to join our team. In this role, you will be responsible for reviewing evaluations, plans of treatment, progress notes, and other clinical documentation within turnaround time.ResponsibilitiesEvaluation and Documentation Review: Review evaluations, plans of treatment,...

Job OverviewOmega Healthcare Management Services Inc. is seeking a skilled and detail-oriented individual to join our team as a Clinical Authorization Coordinator.About the RoleThis role plays a critical part in ensuring seamless communication between healthcare providers, payers, and patients by prioritizing incoming authorization requests and processing...

BENEFITS/PERKSCompetitive Salary13th and 14th month salary guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceKEY RESPONSIBILITIESKey responsibilities will include, but are not limited to, the following:Preauthorization of in-patient treatment.Aggressive cost containment through tight adjudication, correct...