health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Appeals Coder/CV Nurse... appeal letters per process instructions and the department's/company's guidance. The Appeals Coder/CV Nurse will complete...
health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Appeals Coder/CV Nurse... appeal letters per process instructions and the department's/company's guidance. The Appeals Coder/CV Nurse will complete...
: Provides clinical support for performing clinical review of appeals and may also review quality of service issues Process... includes analyzing, reviewing and evaluating appeals in compliance with state and federally mandated turn-around-times...
The Role PHRN - Job Description Position: Philippine Registered Nurse (PHRN) Industry: Healthcare / BPO Work... will support US-based healthcare operations by reviewing clinical cases, processing claims, conducting utilization review...
of experience in processing appeals or utilization management. RN - Registered Nurse - State required Licensure and/or Compact... a Clinical Reviewer Specialist to join our team in Manila, National Capital Region (PH-00), Philippines (PH). "Performs...
of experience in processing appeals or utilization management. RN - Registered Nurse - State required Licensure and/or Compact... a Clinical Reviewer Specialist to join our team in Manila, National Capital Region (PH-00), Philippines (PH). "Performs...
of experience in processing appeals or utilization management. RN - Registered Nurse - State required Licensure and/or Compact... a Clinical Reviewer Specialist to join our team in Manila, National Capital Region (PH-00), Philippines (PH). "Performs...
a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH...). Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine...
a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH...). Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine...
a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH...). Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine...
in Nursing (Graduate) PH Registered Nurse (Active License) Minimum of 1 year in a managerial role Experience managing teams... to clinical appeals. Ensures compliance with industry standards and regulatory requirements. Collaborates closely with internal...
Registered Nurse (Active License) Minimum 1 year in a Manager role Work Experience Experience in managing teams handling Clinical... Operations Manager for Appeals is responsible for managing and overseeing operations related to clinical appeals, ensuring...
Nurse license 3 months clinical experience (480 hours of working experience as a RN) Work experience as an active RN license...Grievance & Appeals Creates complete appeal records for external appeal reviews, using standardized Independent Review...
Registered Nurse (Active License) Minimum 1 year in a Manager role Work Experience Experience in managing teams handling Clinical... Operations Manager for Appeals is responsible for managing and overseeing operations related to clinical appeals, ensuring...