Compliance Job Vacancies in Healthcare / Medical in National Capital Region

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13 - 24 of 104 Compliance Job Vacancies in Healthcare / Medical in National Capital Region

Clinical Denials Specialist
05/13/2025
Pasig, National Capital Region
Coronis Health
Clinical Denial Representative is responsible to review patient’s medical claim when resolving edits for compliance (prior billing) and issues on rejections(rejected by the payor) in the physician side. Clinical Denial Representative must understand and comply...
Clinical Denials Specialist
05/13/2025
Pasig, National Capital Region
Coronis Health
Clinical Denial Representative is responsible to review patient’s medical claim when resolving edits for compliance (prior billing) and issues on rejections (rejected by the payor) in the physician side. Clinical Denial Representative must understand and...
Internal Auditor Supervisor
05/13/2025
Salary ₱35,000.00 Monthly
Makati City, National Capital Region
Dempsey Resource Management Inc.
Job Description: Assist in developing and implementing the annual audit plan. Assist in developing the risk-based audit universe. Define clear audit objectives and establish a tailored audit programs and procedures for each audit engagements. Execute...
Regulatory Pharmacist/ UP TO 30K Monthly
05/13/2025
Brgy. San Isidro, Makati City, National Capital Region
Dempsey Resource Management Inc
• Compliance of the documents per FDA Guidelines • Prepares documents for regulatory purposes/FDA • Keeps up to date with changes in regulatory legislation and guidelines QUALIFICATIONS: • Licensed Pharmacist and familiar with FDA and...
Clinical Appeals Nurse (PHRN) - Temporary WFH
05/09/2025
Pasig City, National Capital Region
Coronis Health
JOB SUMMARY: The Clinical Appeal Nurse is in responsible for creating a convincing and effective appeal based on clinical documentation, payer-specific standards, and compliance with federal and state policies. The Clinical Appeal Nurse is responsible...
Clinical Appeals QA Specialist (PHRN)
05/09/2025
Pasig, National Capital Region
Coronis Health
Responsible for maintaining accurate audits of accounts processed by the associate. Quality Audit Specialist (QA Specialist) ensures compliance with industry standards and client-specific guidelines. QA Specialist monitors, tracks, and trends audit findings to be shared...
Clinical Appeals Nurse (PHRN) Temporary WFH
05/09/2025
Pasig, National Capital Region
Coronis Health
The Clinical Appeals Nurse is in responsible for creating a convincing and effective appeal based on clinical documentation, payer-specific standards, and compliance with federal and state policies. The Clinical Appeals Nurse is responsible for clinical...
Clinical Appeals Nurse (PHRN) (Temporary WFH)
05/09/2025
Pasig City, National Capital Region
Coronis Health
JOB SUMMARY: The Clinical Appeals Nurse is in responsible for creating a convincing and effective appeal based on clinical documentation, payer-specific standards, and compliance with federal and state policies. The Clinical Appeals Nurse is responsible...
Clinical Appeals QA Specialist - PHRN
05/09/2025
Pasig City, National Capital Region
Coronis Health
JOB SUMMARY: Responsible for maintaining audits of accounts processed by the associate. Quality Audit Specialist (QA Specialist) ensures compliance with industry standards and client-specific guidelines. QA Specialist monitors, tracks, and trends audit findings to be...
Clinical Appeals QA Specialist PHRN
05/09/2025
Pasig, National Capital Region
Coronis Health
JOB SUMMARY: Responsible for maintaining accurate audits of accounts processed by the associate. Quality Audit Specialist (QA Specialist) ensures compliance with industry standards and client-specific guidelines. QA Specialist monitors, tracks, and trends audit findings to...
Clinical Appeals QA Specialist (PHRN)
05/09/2025
Pasig City, National Capital Region
Coronis Health
JOB SUMMARY: Responsible for maintaining accurate audits of accounts processed by the associate. Quality Audit Specialist (QA Specialist) ensures compliance with industry standards and client-specific guidelines. QA Specialist monitors, tracks, and trends audit findings to...
Profee Medical Coding Auditor - up to 70k Sign On Bonus
05/09/2025
Pasig, National Capital Region
Coronis Health
Job Summary: Medical Coding Auditor is responsible in maintaining accurate audit to medical records coded by the coders and communicate with them on the findings. Auditor must ensure compliance to coding guidance, facility specific instructions...