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ConcentrixQuezon City
to Client(s) while also Ensuring Compliance with Regulatory Requirement(s).
Essential Duties and Responsibilities :
• Grievance Handling : Investigate and Resolve Member Grievance(s) Related to Medicare Part D Drug Coverage, Medical Claim(s), and Pharmacy...
ConcentrixQuezon City
to Client(s) while also Ensuring Compliance with Regulatory Requirement(s).
Essential Duties and Responsibilities:
• Grievance Handling: Investigate and Resolve Member Grievance(s) Related to Medicare Part D Drug Coverage, Medical Claim(s), and Pharmacy...
Madison Core LaboratoriesPhilippinesappcast.io
The Revenue Cycle Analyst will have at least 5 years of experience dealing with all types of payers including Medicare, Medicare Advantage, Medicaid, and Commercial medical billing. This position requires knowledge of the entire revenue cycle from...
ConcentrixQuezon City
to Client(s) while also Ensuring Compliance with Regulatory Requirement(s).
Essential Duties and Responsibilities :
• Grievance Handling : Investigate and Resolve Member Grievance(s) Related to Medicare Part D Drug Coverage, Medical Claim(s), and Pharmacy...
1 similar job: Philippines
ConcentrixManila
to Client(s) while also Ensuring Compliance with Regulatory Requirement(s).Essential Duties and Responsibilities : Grievance Handling : Investigate and Resolve Member Grievance(s) Related to Medicare Part D Drug Coverage, Medical Claim(s), and Pharmacy Issue...
ConcentrixQuezon City
and Responsibilities :
• Review and Assess Appeal(s) Case(s) Submitted by our Member(s), Provider(s), and Authorized Representative(s) for Medicare Part C Service(s), Evaluate the Clinical Appropriateness of Initial Determination(s) Based on their Medical Necessity...
Health Business Solutions LLCManilaappcast.io
including Medicare and Medicaid guidelines).
• Identify Errors and Gaps: Detect and correct coding discrepancies, missing or incomplete documentation, and over- or under-coding issues.
• Provide Feedback and Education: Educate coding staff and healthcare...
View Medicare jobs in:
ConcentrixMuntinlupa
to Client(s) while also Ensuring Compliance with Regulatory Requirement(s).
Essential Duties and Responsibilities:
• Grievance Handling: Investigate and Resolve Member Grievance(s) Related to Medicare Part D Drug Coverage, Medical Claim(s), and Pharmacy...
ISTA Personnel SolutionsMakatiappcast.io
and Managed Medicaid aging reports and follow up on outstanding claims.
• Handle Medicare aging reports and ensure timely claim resolution.
• Identify and resolve billing discrepancies, denials, and payment delays.
• Maintain compliance with healthcare...
Gratitude IncManilajobstreet.com
Bachelor's Degree in Nursing (RN license required – US and PH)
• Relevant experience (Manager: 5+ years)
• Knowledge of Utilization Management, Case Management, MCG/InterQual criteria, and Medicare/Medicaid guidelines
• Strong communication, leadership...
ConcentrixManila
to Client(s) while also Ensuring Compliance with Regulatory Requirement(s).Essential Duties and Responsibilities : Grievance Handling : Investigate and Resolve Member Grievance(s) Related to Medicare Part D Drug Coverage, Medical Claim(s), and Pharmacy Issue...
VGP JOINT STOCK COMPANYManila
track outcomes, and improve health equity. We partner with organizations serving Medicaid and Medicare populations, delivering social and preventive care at scale.
Why Pear Suite?
We’re a mission-driven team committed to health equity and innovation...
ConcentrixManila
Review and Assess Appeal(s) Case(s) Submitted by our Member(s), Provider(s), and Authorized Representative(s) for Medicare Part C Service(s), Evaluate the Clinical Appropriateness of Initial Determination(s) Based on their Medical Necessity, Benefit...
AtosTaguig
guidelines, CMS (Centers for Medicare & Medicaid Services) regulations, and internal policies.
• Ensure all coding meets risk adjustment and compliance standards to prevent coding discrepancies and audits.
• Maintain a high level of coding accuracy to meet...
Vector Outsourcing Solutions Phils., Inc.Mandaluyongkalibrr.com
contract
• With experience in billing Medicare Part A
• Experience in using Medhost is a plus, but not required
• Requires strong accuracy, attentiveness to detail and time management skills
• Ability to work with and maintain confidential information...
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