denials

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 providers to gather the documentation and clinical evidence needed to build strong appeals, analyzes denial trends...

Denials and Appeals Specialist Work Location: Bridgetowne, Quezon CityWork Setup: OnsiteShift: Night ShiftDepartment: Corporate – Revenue Cycle Management Job Description We are looking for a Denials and Appeals Specialist to handle post-service healthcare payer denials for clinic and surgical services. The role focuses on researching denials, preparing...

DescriptionWork setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QCWork schedule: NightshiftThe QA – Clinical Denials is responsible for conducting quality audits of clinical denial reviews, appeal preparation, documentation, coding validation, and denial management activities to ensure accuracy, compliance, consistency, and...

Denial Management Specialist Department: Corporate – Revenue Cycle ManagementFunction: Post-Service DenialsWork Setup: Onsite – Bridgetowne, Quezon CityShift: Night ShiftEmployment Type: Full-time About the Role We are looking for a Denials and Appeals Specialist to join our Revenue Cycle Management team. This role is responsible for reviewing,...

DescriptionAbout the JobTarget SD: No later than November 3, 2026Work Setup/Location: 100% ONSITE (BGC, Taguig)Work Schedule: Night ShiftThe 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...

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 special...

Health Business Solutions LLC in Pasig, Metro Manila, Philippines is seeking a Revenue Cycle Denials Specialist to identify, investigate, appeal, and resolve denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage.You will work closely with payers, providers, coding teams, clinical staff, and billing departments to ensure...

Denials and Appeals Specialist Work Location: Bridgetowne, Quezon City Work Setup: Onsite Shift: Night Shift Department: Corporate – Revenue Cycle Management Job Description We are looking for a Denials and Appeals Specialist to handle post-service healthcare payer denials for clinic and surgical services. The role focuses on researching...

COMPANY BENEFITS 20 Paid Time Off (PTO) per year Annual Appraisal Quarter Incentive Weekends off HMO with FREE 2 dependents Group life insurance SUMMARY The Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying...

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...

DescriptionWork setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QCWork schedule: NightshiftThe Program Manager – Clinical Denials provides strategic and operational leadership for one or more clinical denials programs across clients, facilities, service lines, or revenue cycle functions.This position is responsible for program...

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...

DescriptionWork setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QCWork schedule: NightshiftThe Team Lead – Clinical Denials provides operational and clinical leadership to a team of Clinical Denials Specialists supporting U.S. healthcare clients. The role oversees daily workflow, productivity, quality, employee performance,...

Discover your 100% YOU with MicroSourcing! Position: Utilization and Denials Management Auditor  Location: BGC, Taguig City Work setup & shift: Onsite, 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...

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 & 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...

SummaryAs a Revenue Cycle Denials Specialist you are responsible for identifying, investigating, appealing, andresolving denied or underpaid healthcare claims to maximize reimbursement and minimizerevenue leakage. The role works closely with payers, providers, coding teams, clinical staff, andbilling departments to ensure timely resolution of denied claims...

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