Inpatient Medical

As a Medical Coder, you will be responsible for reviewing medical records and assigning appropriate diagnostic and procedural codes for patient services. Your role ensures compliance with coding guidelines and regulations. Attention to detail is crucial to accurately translate medical procedures, diagnoses, and treatments into standardized codes. Your work...

Join 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 join Med-Metrix8-Hour ShiftsDay 1 HMO with 2 of your dependents...

Join our dynamic team and make a meaningful impact in the healthcare industry. You'll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in...

The PH Registered Nurse (PHRN) collaborates with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of healthcare resources. This role ensures that care provided is medically appropriate, high-quality, and cost-effective by reviewing medical necessity for inpatient admissions, outpatient...

About the job USRN Trainer (Pasig) | OnsiteWork Setup/Shift: WFO / Night shiftStart Date: ASAPQualifications:Nursing Graduate (Bachelor's Degree)Active USRN License of any state (but NY is preferred)At least 1-2 years as a Process TrainerMinimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)Experience...

Coding Denial Representative is responsible to review payor's denial and identify the root cause of the denials account. Coding Denial Representative determines if the account is appealable or not.Coding Denial Representative must understand and comply with the process established by the Federal and State regulations, Payor's specific guidelines, Official...

Position Type: Mid, Individual ContributorEmployment Type: Full-TimeWork Setup: On-site, Night shiftLocation: Pasig CityIndustry: BPOBase Salary: PHP 75, ,000About the Job:Join our client team as a Clinical Documentation Improvement Specialist, where you will apply your expertise in medical terminology and procedures to evaluate clinical documents, ensuring...

Qualifications: USRN with active license any state2 years minimum hospital experience or bedside experience.Acute care setting ( medical surgical, orthopedic ward, emergency room)At least 1 yr experience in doing utilization review for inpatient admission with concurrent or MCGExperience in using MCG and concurrent inpatient admission

Qualifications: USRN with active license any state 2 years minimum hospital experience or bedside experience. Acute care setting ( medical surgical, orthopedic ward, emergency room) At least 1 yr experience in doing utilization review for inpatient admission with concurrent or MCG Experience in using MCG and concurrent inpatient admission

Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Bachelor's Degree in Nursing (BSN)Active USRN License of any state (NY preferred) Atleast 1-2 years as a Process TrainerMinimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals)Experience with utilization of Interqual/MCG...

We’re expanding our Healthcare Team and looking for a passionate Patient Care Specialist for our Local Tagalog HMO Account . If you’re a medical-allied graduate eager to provide compassionate care and excellent service, this role is for you. JOB QUALIFICATIONS Must be a graduate of a four-year medical-allied course (non-negotiable) Open to fresh...

About the job USRN Trainer (Pasig) | Onsite Work Setup/Shift: WFO / Night shift Start Date: ASAP Qualifications: Nursing Graduate (Bachelor's Degree)Active USRN License of any state (but NY is preferred)At least 1-2 years as a Process TrainerMinimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)Experience...

About the job USRN Trainer (Pasig) | Onsite Work Setu p/Shift: WFO / Night shift Start Date: ASAP Qualifications : Nursing Graduate (Bachelor's Degree) Active USRN License of any state (but NY is preferred) At least 1-2 years as a Process Trainer Minimum 1-2 years of US Healthcare account experience (Utilization Management Review and Clinical Appeals)...

Work Setu p/Shift:  WFO / Night shift Start Date: ASAP Qualifications : Bachelor's Degree in Nursing (BSN) Active USRN License of any state (NY preferred) Atleast 1-2 years as a Process Trainer Minimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals) Experience with utilization of Interqual/MCG Guidelines...

The PH Registered Nurse (PHRN) collaborates with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of healthcare resources. This role ensures that care provided is medically appropriate, high-quality, and cost-effective by reviewing medical necessity for inpatient admissions, outpatient...

Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...

Overview Visaya Pasig, National Capital Region, Philippines — 1 week ago Be among the first 25 applicants. Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and...