denials

DescriptionAbout the JobWork Setup: OnsiteLocation: EOR for the first 6 months in BGC, TaguigWork Schedule: NightshiftThe Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials.This role collaborates closely with healthcare...

Job description: Key Responsibilities: Denials and Appeals Management: Review and evaluate denied claims, including payer policies and clinical documentationSubmit retro-authorizations in response to authorization denialsConduct medical necessity reviews and prepare supporting clinical summariesWrite and submit detailed, well-supported appeals based on...

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you...

About the Job Work Setup: Onsite Location: EOR for the first 6 months in BGC, Taguig Work Schedule: Nightshift The Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. This role collaborates closely with healthcare...

The Coding Denials Auditor is responsible for reviewing, auditing, and accurately coding inpatient, outpatient, and professional claims to ensure proper reimbursement, compliance with billing regulations, and adherence to coding standards. This role collaborates with revenue cycle teamsand serves as a subject matter expert on coding practices, with a...

Summary:As a Revenue Cycle Denials Specialist you are responsible for identifying, investigating, appealing, and resolving denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage. The role works closely with payers, providers, coding teams, clinical staff, and billing departments to ensure timely resolution of denied...

Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal...

Summary:As a Revenue Cycle Denials Specialist you are responsible for identifying, investigating, appealing, and resolving denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage. The role works closely with payers, providers, coding teams, clinical staff, and billing departments to ensure timely resolution of denied...

We're Hiring: Clinical Denials Triage Specialist! We are seeking a detail-oriented and analytical Clinical Denials Triage Specialist. The ideal candidate will play a crucial role in reviewing, analyzing, and resolving clinical denial cases to ensure efficient revenue cycle management. Location: Philippines Work Mode: Hybrid Role: Clinical Denials...

Discover your 100% YOU with MicroSourcing! Position: Utilization and Denials Management AuditorLocation: BGC, Taguig CityWork setup & shift: Onsite, Night shift Why join MicroSourcing? Competitive RewardsEnjoy above-market compensation, healthcare coverage on day one for you and your dependents, paid time-off with cash conversion, group life insurance,...

Discover your 100% YOU with MicroSourcing! Position: Utilization & Denials Management SupervisorLocation: BGC, Taguig CityWork setup & shift: Onsite, Night shift Why join MicroSourcing? Competitive RewardsEnjoy above-market compensation, healthcare coverage on day one for you and your dependents, paid time-off with cash conversion, group life...

Job Summary: We are looking for a detail-oriented Inpatient Coding Denials Specialist to analyze and resolve coding-related denials, with a focus on ensuring timely reimbursement and reducing revenue loss. This role requires a solid understanding of inpatient coding guidelines, payer denial patterns, and appeals processes. The ideal candidate is highly...

Job Description: Discover your 100% YOU with MicroSourcing! Position: Utilization and Denials Management Auditor Location: Taguig, Philippines Work setup & shift: PH Night Shift Why join MicroSourcing? You'll have: Competitive Rewards: Enjoy above-market compensation healthcare coverage on day one plus one or more dependents paid time-off with...

Our promise to you:Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you...

Discover your 100% YOU with MicroSourcing! Position: Utilization and Denials Management Auditor Location: Taguig, Philippines Work setup & shift: PH Night Shift Why join MicroSourcing? You'll have: Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life...

Work set up: Onsite Opportunity – MCK Taguig, Cyber Sigma BuildingWork schedule: Weekdays Night Shift schedule, Fixed Weekends OffResponsibilitiesEffectively review inpatient and/or outpatient medical necessity and authorization denials to determine and understand the validity of such denials in a timely manner -- Should conduct comprehensive reviews of...

Our promise to you:Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you...

Our promise to you:Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you...

Discover your 100% YOU with MicroSourcing!Position: Utilization & Denials Management SupervisorLocation: BGC, Taguig CityWork setup & shift: Onsite, Night shiftWhy join MicroSourcing?Competitive RewardsEnjoy above-market compensation, healthcare coverage on day one for you and your dependents, paid time-off with cash conversion, group life insurance, and...

Summary: The Revenue Cycle Denials Specialist is responsible for identifying, investigating, appealing, and resolving denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage. This role works closely with payers, providers, coding teams, clinical staff, and billing departments to ensure timely resolution of denied claims...