Discover your 100% YOU with MicroSourcing! Position: Utilization and Denials Management Auditor Location: Taguig Work...: Be part of a team that celebrates diversity and fosters an inclusive culture. Your Role As a Utilization and Denials...
Discover your 100% YOU with MicroSourcing! Position: Utilization & Denials Management Supervisor Location: Taguig Work...: Be part of a team that celebrates diversity and fosters an inclusive culture. Your Role As a Utilization & Denials Management...
Discover your 100% YOU with MicroSourcing! Position: Utilization & Denials Management Manager Location: Taguig Work...: Be part of a team that celebrates diversity and fosters an inclusive culture. Your Role As a Utilization & Denials Management...
Job Description: ISTA Solutions, an outsourcing/offshoring company, is in search of a Utilization Reviewer... like you! Account specific roles and responsibilities: Performs Utilization Management (UM) Reviews in accordance with US State/Federal...
acute patient care, discharge planning, case management, and utilization review, etc Demonstrated clinical knowledge...
and ensure it reaches all, equitably and effectively. UST HealthProof is searching for a highly motivated Utilization Review RN... to join our team. As a Utilization Review US Registered Nurse, you will perform prospective, concurrent and retrospective review...
Grievance & Appeals Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. Creates a detailed case summary in narrative format for each...
Job Description: The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patient...
This job is with Accenture, an inclusive employer and a member of myGwork - the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Grievance & Appeals Creates complete appeal records for...
customer service. Monitor vehicle schedules, routes, and driver assignments to maximize fleet utilization. Ensure compliance...
. Lead exploratory research to identify emerging AI solutions that align with business objectives. Client Data Utilization...
and Tool Optimization: Ensure effective utilization of social listening and social media management tools such as Meltwater...
and collaboration of BCP planning, Disaster risk, Facilities, Space utilization, Occupational health and Security management...
and unrestricted Philippine Nursing license with strong clinical assessment skills. 2 years of experience with Utilization Review...
personal utilization targets on a quarterly basis Exceeds Customer Reference Targets and Customer Satisfaction Survey Score...
in Revenue Cycle Management operations , including: Clinical RCM (Clinical Documentation Improvement/Coding, Utilization Review... environment , managing utilization and budgets. Excellent written and verbal communication skills, including the ability to create...
, or a related field. Strong background in Clinical RCM functions (Clinical Documentation Improvement/Coding, Utilization Review... and critical thinking abilities, with experience managing budgets and utilization metrics. Strong understanding of the healthcare...
promotion and health management programs) Manage a detailed dashboard to represent engagement, utilization and outcomes... integration to support associate well-being experience and foster domestic utilization. Workplace Health and Safety (e.g...
, or a related field. Strong background in Clinical RCM functions (Clinical Documentation Improvement/Coding, Utilization Review... and critical thinking abilities, with experience managing budgets and utilization metrics. Strong understanding of the healthcare...
and deliver training materials to educate end-users on the effective utilization of the platform Troubleshoot any issues...