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Clinical Denials and Appeals Nurse
1 day ago
About the role
We are seeking an experienced Clinical Denials and Appeals Nurse to join our team as a Team Leader. In this key role, you will be responsible for leading a team of nurses in managing the clinical denials and appeals process for our healthcare clients. This is a full-time position based in our Taguig City office in Metro Manila.
What you'll be doing
- Manage a team of nurses dedicated to the clinical denials and appeals process
- Oversee the timely and effective resolution of clinical denials and appeals for our healthcare clients
- Provide guidance and support to your team in interpreting clinical information and developing effective appeal strategies
- Collaborate with cross-functional teams to ensure a seamless denials and appeals process
- Analyse data and trends to identify opportunities for process improvement
- Serve as a subject matter expert on denials and appeals, providing training and support to the wider organisation
- Maintain detailed documentation and reporting on all denials and appeals activities
What we're looking for
- Registered nurse (PHRN) with at least 2 years of experience in a clinical denials and appeals role
- Strong understanding of healthcare regulations, policies, and compliance requirements
- Excellent written and verbal communication skills, with the ability to effectively present complex information
- Proven experience in leading and developing high-performing teams
- Strong analytical and problem-solving skills, with the ability to identify and implement process improvements
- Proficient in using electronic medical record systems and data analysis tools
What we offer
At Access Healthcare Services Manila, Inc., we are committed to providing a supportive and collaborative work environment. We offer competitive salaries, comprehensive benefits, and opportunities for professional development. Our employees also enjoy a range of wellness initiatives, including access to on-site healthcare services.
About us
Access Healthcare Services Manila, Inc. is a leading provider of healthcare services, with a focus on improving patient outcomes through innovative solutions and a dedication to clinical excellence. Our team of passionate healthcare professionals works tirelessly to deliver high-quality care to our clients across the Philippines.
Apply now to join our dynamic team and make a meaningful impact in the healthcare industry.
