Medicare Jobs in Manila
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Search Results - Medicare Jobs in Manila
Concentrix-Manila
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...
Health Business Solutions LLC-Manila
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...
appcast.io -
Concentrix-Manila
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 COMPANY-Manila
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...
Concentrix-Manila
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...
Gratitude Inc-Manila
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...
jobstreet.com -
Atos-Manila
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 organizational...
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MicroSourcing-Manila
that celebrates diversity and fosters an inclusive culture.
Responsibilities:
• Research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims...
Cardinal Health-Manila
or third party policy. Updates patient files for insurance information, Medicare status, and other changes as necessary or required. Keeps email inbox requests up to date; checks for new messages on an hourly basis. Complies with HIPAA rules, appropriately...
AdminEdge-Manila
home health agencies
• Strong experience with OASIS documentation and home health QA processes
• Proficiency with Axxess or similar EMR systems (required or equivalent experience)
• Strong understanding of Medicare and home health regulatory requirements...
jobstreet.com -
Optum-Manila
As the Clinical Team Supervisor, you will be the frontline leader for a newly established team of Clinical Nurses delivering Medication Therapy Management (MTM) services to US-based Medicare & Retirement (M&R) patients. Reporting directly...
AdminEdge-Manila
to ensure adherence to Medicare, Medicaid, and VA guidelines
• Identify documentation deficiencies and communicate corrections to clinical staff
• Support survey readiness and accreditation preparation
• Maintain audit-ready records and ensure regulatory...
jobstreet.com -
The Functionary-Manila
with Medicare, Medicaid, HMO, PPO, Workers' Comp, Tricare, and commercial payers Oversee fee schedules, payer contracts, and reimbursement accuracyClient & Executive Collaboration ️ Act as a strategic partner to clients and executive stakeholders Deliver...
Thrivemodal-Manila
Knowledge & Skills:
• Strong understanding of insurance plans (HMO, PPO, Medicare, Medicaid)
• Familiarity with CPT, ICD-10, and HCPCS coding
• Experience with EMR/EHR systems and payer portals
• Excellent communication and organizational skills
• High...
jobstreet.com -
MBVA 24-7-Manila
and written
• Understanding of medical terminology
• Must have 2+ year in a healthcare or medical billing office; experience in managing patient scheduling patients
• Must have 2+ years’ experience verifying insurance with Medicare, Medicaid, and commercial...
jobstreet.com -
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