Clinical Support Specialist

Job SummaryMetaHealth is seeking a skilled Clinical Support Specialist to join our team. As a Clinical Support Specialist, you will be responsible for providing top-notch support to our clients. Your analytical skills will be utilized to troubleshoot and resolve issues, ensuring a positive impact on client satisfaction.ResponsibilitiesProvide clinical...

Job Title: Clinical Appeals SpecialistWe are seeking a highly skilled Clinical Appeals Specialist to join our team at Gratitude Philippines.Key Responsibilities:Review and analyze medical claims to ensure accurate processing and reimbursement.Communicate with healthcare providers and patients to resolve billing discrepancies.Develop and implement strategies...

Job Title: Clinical Coding SpecialistAbout the Role:We are seeking a skilled Clinical Coding Specialist to join our team at TASQ Staffing Solutions.Key Responsibilities:The successful candidate will be responsible for performing accurate and timely coding of patient records, ensuring compliance with industry standards and regulations.Requirements:To be...

Job Title: Clinical Excellence SpecialistJob Summary:We are seeking a Clinical Excellence Specialist to join our team at Gratitude Philippines. The successful candidate will be responsible for carrying out quality assurance oversight activities, conducting regular reviews of managed care internal and external claim files, and analyzing quality assurance...

Job Title: Clinical Utilization SpecialistGratitude Philippines is seeking a highly skilled Clinical Utilization Specialist to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality of care for our patients.Key Responsibilities:Conduct thorough reviews of patient cases to ensure medical necessity and...

Role Summary: We are seeking a skilled RN Clinical Specialist to join our team at Gratitude Philippines. In this role, you will be responsible for handling clinical appeals and denials for healthcare insurance claims.Key Responsibilities:Review and evaluate clinical appeals and denials for healthcare insurance claimsUtilize clinical expertise to make...

Clinical Opportunities at Gratitude Philippines**Job Summary**We are seeking a skilled Clinical Appeals Specialist to join our team. The ideal candidate will have a strong background in utilization management review or clinical appeals and denials handling for healthcare insurance/UMR.**Key Responsibilities**- Conduct thorough reviews of medical claims to...

We are seeking a skilled Clinical Care Specialist to join our team at Megaworld Corporation. This is a Full-time position that requires a Registered Nurse with a strong background in patient care and clinical skills.The ideal candidate will have at least 1 year of experience in nursing and be proficient in MS Office. The following skills are...

Job Title: Patient Care Specialist Job Summary: We are seeking a highly skilled and compassionate Patient Care Specialist to join our team at Recruiting Company. As a Patient Care Specialist, you will play a vital role in ensuring the delivery of exceptional patient care and services in our clinic. Responsibilities: * Provide top-notch patient care and...

Job Title: PHRN OHNJob Summary:We are seeking a highly skilled and motivated PHRN OHN to join our team at MetaHealth. As a key member of our healthcare team, you will be responsible for providing top-notch support to our clients.Key Responsibilities:Use your analytical skills to troubleshoot and resolve issuesMake a positive impact on client...

Job Title: PHRN OHNJob Summary:We are seeking a highly skilled and detail-oriented PHRN OHN to join our team at MetaHealth. As a key member of our healthcare operations team, you will be responsible for providing top-notch support to our clients.Responsibilities:Use your analytical skills to troubleshoot and resolve issues in a timely and efficient...

Job Title: Clinical Utilization Review SpecialistGratitude Philippines is seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our clients receive the most appropriate and cost-effective care.Key Responsibilities:Review treatment authorization...

Job Title: Clinical Utilization Review SpecialistAbout the Role:Gratitude Philippines is seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a key member of our Utilization Review team, you will be responsible for reviewing treatment authorization requests based on state guidelines and medical necessity.Key...

Job SummaryWe are seeking a highly skilled Japanese speaker to join our team at Neocareer Philippines as a Japanese Language Support Specialist. In this role, you will provide exceptional support to our patients and staff by assisting with various tasks related to Japanese language interpretation and communication.Key ResponsibilitiesAct as the primary point...

Job Title: Utilization ReviewerGratitude Philippines is seeking a highly skilled Utilization Reviewer to join our team.Key Responsibilities:Conduct thorough reviews of medical records to ensure compliance with workers' compensation laws and regulations.Utilize strong analytical and organizational skills to identify areas for improvement in healthcare...

Job Title: Utilization ReviewerGratitude Philippines is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that patients receive appropriate and necessary medical care while minimizing costs.Key Responsibilities:Review treatment authorization requests based on state guidelines and...

Clinical ExcellenceAt Recruiting Company, we are committed to delivering exceptional patient care. As a Patient Care Specialist, you will play a vital role in ensuring the highest level of service to our patients and customers.Responsibilities:• Provide exceptional patient care and support to patients and customers in the clinic• Perform a variety of...

Job SummaryThe Clinical Review Nurse position is a critical role in assessing the medical appropriateness of proposed treatments and medications for our injured employees. This position partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim, while maintaining a solid understanding of the Client's mission,...

Job Title: BPO Utilization ReviewerSummary:The Clinical Review Nurse position is responsible for assessing the medical appropriateness of proposed treatments and medications for our injured employees. This role partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim, while maintaining a solid understanding of...

Job Title: Japanese Bilingual Clinic CoordinatorWe are seeking a highly skilled and experienced Japanese bilingual clinic coordinator to join our team at RCX Philippines.Key Responsibilities:Act as the primary point of contact for Japanese patients and provide exceptional customer service.Assist with interpreting documents from Japanese to English, including...