. Validate criteria for policy or rule suitability. Serve as a subject matter expert (SME) in cross-functional team with Clinical... including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes...
Contribute to the content topics backlog for editing consideration Function as a subject matter expert for current claims... Medical Content Analyst will independently research and identify new clinical content areas of claims editing, by reviewing...
to act as the subject-matter expert for Philippines financial matters Proficiency with MS Office applications Prior knowledge... and quantity discrepancies Prepare and post prepayment release journals for third-party vendors and advance staff claims. Checking...
, and within deadlines. Manage customer complaints effectively and escalate when necessary. Serve as a Subject Matter Expert to assist... professionally. Perform other reasonable tasks assigned to support business objectives. Skills & Qualifications Claims handling...
as a subject matter expert on client-specific processes and expectations. Candidate Qualifications WONDER IF YOU ARE A GOOD FIT.... CONDITIONS OF EMPLOYMENT All MCI Locations Must be authorized to work in the country where the job is based. Subject to the...
experience with a strong background in Banking Operations and Financial Services. Preferably subject matter expert specializing...' transaction concerns (fiat & crypto). technical issues, claims, as well as BSP complaints. Lead the team to ensure timely...
enrollment in applicable company benefits. Act as the subject matter expert (SME) for both company-sponsored and statutory... required documentation to government agencies for new hires, resignations, loans, maternity/sickness claims, and other mandatory reports...
for our clients. Your Mission: The Core of the SME Program The Subject Matter Expert (SME) plays a crucial role, combining instruction... where you can grow, succeed, and make a difference! Medical Billing Training Specialist Are you a medical billing expert...
-functional partners on the patient's coverage status Care Navigator (PHRN) Develop and maintain Subject Matter Expert (SME... with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims and benefits (payer) Good English...
-functional partners on the patient's coverage status Care Navigator (PHRN) Develop and maintain Subject Matter Expert (SME... with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims and benefits (payer) Good English...
) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the... authorization OR eligibility, claims, and benefits (payer) Good English communication skills Knowledge of healthcare regulations...
Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program...: Must have an active PHRN license PHRN with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims...
Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program...: Must have an active PHRN license PHRN with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims...
) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the... authorization OR eligibility, claims, and benefits (payer) Good English communication skills Knowledge of healthcare regulations...
) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the... authorization OR eligibility, claims, and benefits (payer) Good English communication skills Knowledge of healthcare regulations...
) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the... authorization OR eligibility, claims, and benefits (payer) Good English communication skills Knowledge of healthcare regulations...
client requirements. Serve as a reliable subject-matter expert, advising clients and internal teams on industry trends... computation, policy issuance, endorsements, cover note preparation, and claims management. Business Growth and Strategy...
patients' coverage status Care Navigator (PHRN) Develop and maintain Subject Matter Expert (SME) level knowledge of the..., claims, and benefits (payer) Good English communication skills Knowledge of healthcare regulations and compliance...
-functional partners on the patients coverage status Care Navigator (PHRN) Develop and maintain Subject Matter Expert (SME...: Must have an active PHRN license PHRN with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims...
client requirements. Serve as a reliable subject-matter expert, advising clients and internal teams on industry trends... computation, policy issuance, endorsements, cover note preparation, and claims management. Business Growth and Strategy...