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Clinical Denials Specialist

Pasig, National Capital Region

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...

Clinical Appeals Nurse (PHRN) Temporary WFH

Pasig, National Capital Region

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

Pasig, National Capital Region

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...

Profee Medical Coding Auditor - up to 70k Sign On Bonus

Pasig, National Capital Region

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...

Legal Admin Assistant (US Legal) Work From Home

Pasig, National Capital Region

Responsibilities: -Contract Management. -Gathers and disseminates data, retrieves documents, performs statistical research, prepares written analyses, and other necessary tasks, as assigned. -Conducts legal research, litigation assistance, contract review/drafting support, correspondence, litigation document review and electronic...

Legal Admin Assistant (US Legal) Work from Home

Pasig, National Capital Region

Responsibilities: *Contract Management. *Gathers and disseminates data, retrieves documents, performs statistical research, prepares written analyses, and other necessary tasks, as assigned. *Conducts legal research, litigation assistance, contract review/drafting support, correspondence, litigation document review and electronic...

Pasig, National Capital Region

Medicare Plus, Inc.

Join a Company That Values You! Would you like to join a company that truly values its employees? How would it feel to work in a space free from gender bias? Imagine the satisfaction of...

Sales Team Leader

Pasig, National Capital Region

Medicare Plus, Inc.

Job description Would you like to join a company that truly values its employees? How would it feel to work in a space free from gender bias? Imagine the satisfaction of going home every day...

Inpatient Auditor

Pasig, National Capital Region

We are excited to announce an excellent opportunity for a dedicated Inpatient Coding Quality Assurance Specialist to join our dynamic healthcare team. This role is pivotal in maintaining the accuracy of information and upholding high-quality...

Profee Medical Coding Author

Pasig, National Capital Region

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 and confidentiality...

InPatient Medical Coder

Pasig, National Capital Region

Job Summary: 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...

Outpatient Medical Coder

Pasig, National Capital Region

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...

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