Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Are you looking for a position with tremendous growth potential? Gallagher Bassett, a premier multiline worldwide claims services provider, is looking for Licensed Philippine Nurses to be part of their team at their first Philippine-based site. The
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care,
PHRN Team Lead – Healthcare BPO | Up to 60K | Ortigas Location: Ortigas, Manila (Onsite) Start Date: ASAP Salary: Up to Php 60,000 (depending on experience) Headcount: 5 Qualifications: Active PHRN License At least 3 years Team Lead experience
Job Title: PHRN Team Lead (TL) and PHRN Quality Analyst (QA) Work Setup: 100% Onsite – Night Shift Work Location: Ortigas, Pasig Start Date: ASAP Job Overview We are looking for experienced and licensed Philippine Registered Nurses (PHRNs) to join
PHRN Quality Lead – US Healthcare | Up to 60K | Ortigas | Night Shift Location: Ortigas, Manila (Onsite) Start Date: ASAP Salary: Up to Php 60,000 (depending on experience) Headcount: 1 Schedule: Night Shift Qualifications: At
We’re looking for a USRN Care Manager to join our Insurance Operations team at MBPS. In this role, you will evaluate medical documentation and claim information against policy terms and conditions to determine eligibility for insurance benefits.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care,
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care,
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care,
PHRN - Cebu The Registered Nurse will provide clinical and healthcare support services aligned with operational and quality standards. The role is responsible for delivering patient-centered support through documentation review, clinical coordination, and healthcare process assistance while
ROLE AND RESPONSIBILITIES The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals
Are you a certified medical coder with a passion for leadership and developing high-performing teams? Join Cotiviti Philippines and take the next step in your career as an Inpatient Coding Team Leader in our Cebu office. Education &
General Summary: We are currently seeking Auditor to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Auditor is responsible for analyzing and interpreting and assign the correct codes
Clinical Denials Specialist Summary 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
ROLES AND RESPONSIBILITIES The PHRN Coder Supervisor is responsible for leading and managing a team of Philippine Registered Nurses (PHRNs) and Medical Coders to ensure accurate, compliant, and timely coding of medical records and healthcare documentation. This role oversees
ROLE AND RESPONSIBILITIES The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of