Responsibilities:Oversee and supervise the daily Billing operations, workflows, and colleague performanceServe as a technical expert of billing and billing
Essential Duties and Responsibilities: Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory
PHRN + CIC/CCS + 2 Years IP DRG Experience | DRGV AUDITORLocation: Ortigas (Onsite) / Cebu / QCQualifications:Nursing degree mandatoryRegistered Nurse with
Job DescriptionResponsibilities:Perform regular audits of clinical practices, patient records, and healthcare processes.Analyze audit findings and data to
Preferred Educational QualificationsBachelor's degree or equivalent experience is requiredPreferred Work Experience3-5 years' experience of medical coding,
Preferred Educational QualificationsBachelor's degree or equivalent experience is requiredPreferred Work Experience5-7 years' experience of medical coding,
Preferred Educational QualificationsHigh school diploma or equivalent is requiredPreferred Work ExperiencePrefer previous customer service/call center
Preferred Educational Qualifications High school diploma or equivalent is required Preferred Work Experience Prefer previous customer service/call center
Preferred Educational Qualifications Bachelor's degree or equivalent experience is required Preferred Work Experience 3-5 years' experience of medical coding,
Preferred Educational Qualifications Bachelor's degree or equivalent experience is required Preferred Work Experience 5-7 years' experience of medical coding,
Accurately process healthcare billing for clients, using in-depth knowledge of coding and insurance policies.Navigate complex billing systems to submit claims
Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines. Verify member
Essential Duties & ResponsibilitiesVerify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the
Job descriptionEssential Duties & ResponsibilitiesVerify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via
Duties & ResponsibilitiesVerify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance
Job descriptionEssential Duties & ResponsibilitiesVerify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via
Job DescriptionThe Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or
PHRN + CIC/CCS + 2 Years IP DRG Experience | DRGV AUDITORLocation: Ortigas (Onsite) / Cebu / QCQualifications:Nursing degree mandatoryRegistered Nurse with
• Clear Suspense items by reviewing and researching in order to resolve. Ensure that correct pricing is added based on client proposals and contracts in
JOB RESPONSIBILITIES: Works with Client Services Account Managers/Sales Team and customers to get detailed data specifications Manages data segmentation