Medical Reviewer

The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent with their needs as well as inputting of approved Guidelines and References. The review typically involves...

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care...

Role DescriptionThis is a full-time, on-site role for a Medical Coder, based in Taguig. The Medical Coder will be responsible for accurately coding medical procedures and diagnoses using standardized medical codes. Day-to-day tasks include reviewing patient medical records, assigning appropriate codes, and ensuring compliance with regulatory requirements....

We are seeking an experienced Medical Allied Graduate Manager to lead and manage the operational delivery of our UM/UR services for U.S.-based healthcare clientsThis strategic role is responsible for driving service quality, team performance, client satisfaction, and operational excellence across multiple Utilization Review accountsKey...

Medical Billing & Claims CSR I Revenue Cycle Management SpecialistJoin to apply for the Medical Billing & Claims CSR I Revenue Cycle Management Specialist role at HR TechX Corp.OverviewThe RCM Senior Associate is responsible for overseeing a broad range of duties within the revenue cycle management process, ensuring accurate and timely claims and billing...

Access Healthcare is looking for Medical Allied Graduates for Healthcare CSR accountCalling ALL Medical Allied Graduates to applyJob DescriptionCollaborate with insurance companies and internal teams to facilitate the prior authorization process on behalf of healthcare providersObtain prior authorization from insurance companies before medical procedures or...

Job description:We are seeking for MEDICAL ALLIED GRADUATES to be part of our Prior Authorization team in the Philippines. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture.JOB DESCRIPTIONCollaborate with insurance companies and internal teams to facilitate the prior...

Job Overview:Day ShiftOn-site at Taguig1–3 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion servicesThe main responsibilities of a OUTPATIENT MEDICAL CODER (CODER) include:Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate...

Job Overview:Day ShiftOn-site at Taguig1–3 years of experience in Outpatient Facility Coding, specifically with Injection and Infusion servicesThe main responsibilities of a OUTPATIENT MEDICAL CODER (NURSE) include:Analyze medical records, physician notes, and other documentation to identify billable services and ensure accurate coding using appropriate...

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Site: TaguigOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Temporary Work From Home (during training period)Medical Coding License SponsorshipMedical Coding Account Allocation (once...