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9 Results Found

Posted 2 months ago

Login to see if this matches your preferred salary50 Vacancies


Primary ResponsibilitiesWilling to undergo training telemedicine program prior to actual dutyWilling to work full time on an 8 hr shifting schedule 24/7 operations Inform the patient about Medgate services products and partner clientsFollow communication procedures guidelines and policies meeting Medgate standards

National Capital Region-Makati, Philippines

Posted 3 months ago

Login to see if this matches your preferred salary1 Vacancy


The Nurse Specialist reports to the disability case manager and is responsible for managing short term disability claims for contracted clients from intake through approval for payment continued monitoring of open claims and clerical functions to support these services Main Duties and Responsibilities Access claims submissions via fax and email review for required information in compliance with client policies accurate data entry and communicate to client representative for paymentMaking decisions for approval or denial of claims using contractual medical and vocational analysisMaintain productive relationships with internal advocates client employees and benefits representatives and medical professionalsRespond in timely manner to high volumes of written fax and email and verbal primarily telephone communication with a wide range clients employee client representatives medical professionals in multiple communitiesContinual prioritization of conflicting demands with rapid response and efficient resolution Frequent communication with internal team membersEnsure a high level of client satisfaction meeting weekly reporting requirements and quick turnaround times for claims processingAssume the daily functions for the Disability Claims Manger when absent whether planned or unexpected

Central Visayas-Cebu, Philippines

Posted 6 months ago

PHP 15,000 - 20,000 1 Vacancy


Candidate must be a graduate or undergraduate of any courses Fresh graduates are welcome With or without working experience as long as willing to be trained Can handle pressure Knowledgeable in any Microsoft office application Good in verbal and written communication skills With strong and pleasing personality

National Capital Region-Makati, Philippines

Posted 7 months ago

PHP 30,000 - 35,000 1 Vacancy


Job Responsibilities A HIM Trainer is responsible for creating and implementing training programs for various HIM processes based on the needs of the company and its employees Perform actual HIM work for existing accounts on a regular basis to keep an up to date knowledge of the process Participate in process implementation during account take offs or go liveThey are also responsible to fulfill the following duties and responsibilities Develops curriculum training syllabus and course modules related to HIM processes Abstraction Greenbay QA Bellevue QA Bellevue SA SA Trevose Greenbay DE ESL QA Indexing Handles new accounts for the first 15 to 30 days assists in establishing quality and productivity standards and in coordination with the department manager ensures successful transition to the production team Collaborates with production supervisors and operations manager to ensure that all corrective actions due to performance deficiency are carried out as scheduled according to the guidelines and procedure Collaborates with billing operations managers supervisors and quality to resolve issues that impact internal and external customersIdentifies areas for improvement and opportunities for education for employees and in coordination with the management team develops training materials and conducts training sessions Conducts product training for new hires and if necessary provides refresher training to employees Keeps up to date with innovations and developments in training methods by researching reading relevant materials and attending relevant courses Researches new technologies and methodologies in workplace learning such as web based training and other e learning techniques and presents a possible implementation plan that includes sourcing and costing Ensures compliance to HIPAA policy by monitoring its implementation conducting training providing updates identifying possible compliance issues and coordinating corrective actions Promotes continuous learning through various programs like CIOX Health Academy ARMCO Learning Academy ALA etc and collaborates with ALA in developing training programs that look to improve staff performance and address areas of weakness Duties also include monitoring the staff s diligence in completing their assigned courses before the due date Updates weekly deck performance and attendance for training meeting Participates in weekly training meetings with the upper management Qualifications Graduate of any Medical or Allied Medical course or has equivalent work experience Minimum of 2 years HIM process experience with exceptional performance Previous training work experience is a plus Supervisory experience preferred demonstrated leadership skills No outstanding breach violation for the past 12 months Not subjected to any disciplinary action verbal written etc for the past 12 months Willingness and flexibility to work extended hours Knowledge of general computer applications and ability to multitask on two monitors Proficient with Microsoft Office products Ability to work in a team fostered environment and have the willingness to adjust to changing job responsibilities shifting schedules new procedures and unexpected workloads and stresses Possess strong verbal written communication interpersonal skills and analytical skillsAssertive self starter who can work independently yet function in a team environmentAbility to plan well and prioritize work and maintain calmness under pressure Good interpersonal and other training soft skills motivation patience good sense of humor An understanding and strict adherence to all HIPAA regulations

National Capital Region-Pasig, Philippines

Posted 7 months ago

PHP 30,000 - 35,000 1 Vacancy


LEADERSHIP COMPETENCIES Interpersonal SkillsAccepts and assesses feedback of clients colleagues staff and stakeholders Encourages and promotes loyalty and commitment among people in the company Conflict ManagementKnows recognizes and anticipates situations that has a potential for conflict and takes steps to prevent counterproductive confrontation Aims and uses a win win approach for resolving conflicts Consistently demonstrates objectivity with poise and even temper Performance ManagementMentors and coaches by providing assessment feedback and general advice about maximizing strengths and overcoming performance gaps Cites critical incidents to justify assessment and provides specific constructive feedback for developmental purposes Leads the team through coaching towards achieving performance standards and goalsPersonal CapabilityHas a positive outlook in approaching a new situation despite previous setbacks can shed outdated methods and processes and is open to new possibilities Keeps skills updated with the most current requirements on the job by taking specific actions pursues self development Focus on ResultsFocus on the company s goals and ensure that these are translated into actions by the team Anticipates the needs of both internal and external customers TECHNICAL COMPETENCIES Specific Duties and Responsibilities Work TasksLead a team of denials analysts to accurately resolve claim denials and optimize payment recovery Managing workflow and monitoring and daily targets to assure timely claim resolution initial filing and appeal filing and agreed service level audit Coordinates timely processing of all appeals at all levels i e initial appeals second level response etc Tracking and maintaining metrics for a variety of data includes attendance productivity etc Respond to clients timely on any process related queries and concerns Mentor analysts and supervises junior staff or onboard trainees and encourage good denials resolution follow up skills and work ethic Participate in client calls leader s meeting and new pilot projects and work towards proper transition of process updates and knowledge to the team Utilizes denial reports to assess root causes and identify denial trends and patterns of rejected claims within the project and share findings with the team and stakeholders and suggest possible systems correction and prevention to Billing Supervisor or Operations Manager to aid collections and improve the productivity The Team leader is required to do production for denials resolution and follow up work to keep updated of the current processes and workflows and identify opportunities for improvement Conducts performance evaluations of each individual staff under his leadership Ensures successful payment recovery and increasing collection ratio by monitoring successful appeals and denials resolution as a way to evaluate effectiveness of process and leadership performance within the specific project Exercises care in the operation and use of equipment and reference materials Performs routine cleaning and preventive maintenance to ensure continued functioning of equipment Maintains work area in a clean and organized manner Refers complex or sensitive client issues to the attention of the Billing Supervisor to ensure corrective measures are taken in a timely fashion Assists other staff as required in the completion of daily tasks or special projects to support the department s efficiency Records ManagementAdheres to specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential Complies with policies and procedures as they relate to the job Maintains strictest confidentiality of patient information and adheres to all HIPAA guidelines/regulations Quality ManagementIdentifies mistakes or inconsistencies in medical documentation and alerts the physician for any inaccurate or incomplete information Work with Forensic billing supervisors managers training and QA on identified areas of improvement and develop processes to improve productivity quality and collection ratioGeneral OthersActively participates in continuing education and skills improvement trainings provided by the company and/or the client Performs other related functions as assigned or directed

National Capital Region-Pasig, Philippines

Posted 7 months ago

PHP 30,000 - 35,000 1 Vacancy


JOB SUMMARY Business Analyst role is to plan design and develop efficient business and operations systems in support of organizational functions and business processes This includes gathering and analyzing data in support of system requirements and proposed projects The business analyst is responsible for generating reports based on findings complete with probable causes and possible solutions to issues He/she is expected to apply analytical and problem solving skills for the benefit of the organization MINIMUM REQUIREMENTS Education Bachelor s/College Degree Computer Science/Information Technology Engineering Business studies/Administration/Management Marketing or Equivalent coursesExperience At least 2 years of working experience in related fieldMicrosoft Excel with VBA and Macro Experience Microsoft Access and/or SQL experience strongly preferredLicense/Certification CORE COMPETENCIES Behavior Attitude Core Values IntegrityDemonstrates strict compliance to all company policies house rules and HIPAA regulations Ability to work in a dynamic highly stressful environment that regularly involves exposure to confidential and sensitive medical issuesKnowledgePossesses strong oral and written communication skillsAbility to follow verbal instructionsAbility to operate a personal computer and related software applications TeamworkAbility to multitask and handle multiple assignmentsRespectAbility to communicate and interact professionally with othersAbility to impact operations and effect change without being confrontational ServiceUnderstanding of and commitment to appropriate protection of confidential patient informationDetail oriented analytical and inquisitiveExtremely organized with strong time management skills TECHNICAL COMPETENCIES Specific Duties and Responsibilities Work TasksDesign and implement data analytics and reporting designs and develop processes and related business operating modelsPrepare technical reports by collecting analyzing and summarizing information and trendsDetermine operational objectives by studying business functions gathering information evaluating output requirements and formatsMonitor project progress by tracking activity resolving problems publishing progress reports recommending actionsInterpret evaluate and interrelate research data and develop integrated business analyses and projections for incorporation into strategic decision makingPerform daily weekly and monthly reviews and analyses of current processes using operational metrics and reportsUnderstand and communicate the financial and operational impact of any changesSuggest changes to senior management using analytics to support your recommendations Actively participate in the implementation of approved changesCreate informative actionable and repeatable reporting that highlights relevant business trends and opportunities for improvementRecords ManagementMaintain user confidence and protect operations by keeping information confidentialQuality ManagementConduct insightful ad hoc analyses to investigate ongoing or one time operational issuesGeneral OthersContribute to team effort by accomplishing related results as needed

National Capital Region-Pasig, Philippines

Posted 7 months ago

PHP 15,000 - 20,000 1 Vacancy


DescriptionThe Quality Assurance Specialist/Subject Matter Expert QAS/SME is responsible for carrying out and implementing the quality review plan to ensure a high level of accuracy with the various job duties and actions of the different HIM processes The QAS/SME will possess and maintain a high level of expertise in several sites demonstrating an excellent understanding of the different guidelines Principal ResponsibilitiesAssist in the establishment of implementation and maintenance of a formalized review process to ensure compliance with contractual agreements regarding accuracy rates Conduct daily reviews of 5 10 of all staff work in the various areas of specialization Upon finding any employee with critical error committed for the day provide immediate feedback to the employee and corresponding increase in auditing of said staff s work assignments to ensure continuation of the acceptable accuracy rate Develop audit reports for assigned clients tracking errors and discrepancies reporting to the QA Supervisor Production Supervisor and HIM Support Services Manager When requested perform the responsibilities of the staff as dictated by business need and work load Act as a mentor and role mode to staff in relation to professionalism demeanor and work ethics Knowledge understanding and compliance with all Federal and Local laws and regulations regarding there area of expertise Knowledge of understanding of and compliance with all ARMCO policies and procedures QualificationsGraduate of any Medical or Allied Medical course or has equivalent work experience Minimum of six months experience with exceptional performance in chosen area of quality managementKnowledge of general computer applications and ability to multitask on two monitors Quality monitoring and coaching experience preferred Extreme attention to detail required Ability to work in a team fostered environment and have the willingness to adjust to changing job responsibilities shifting schedules new procedures and unexpected workloads and stresses No outstanding breach violation for the past 12 months

National Capital Region-Pasig, Philippines

Posted 7 months ago

PHP 15,000 - 20,000 10 Vacancies


Virtual Medical Scribe is responsible for aiding medical practitioners in their daily work activities through a remote connection by performing clerical and non clinical tasks allowing physicians to focus on patient care Education Graduate of nursing or other allied medical courses or equivalent Experience Previous experience as a medical scribe is a huge advantage but not a requirement At least 6 months clinical experience At least 1 year experience in a healthcare documentation or health information management position e g medical transcription medical coding etc Previous experience working with Epic and/or multiple EMR systems such as but not limited to HPI PMH ROS PE MDM Assessment & Plan CPT etc License/Certification Certification from any healthcare documentation or health information management certifying organization e g AAPC AHIMA etc is an advantage but not a requirement TECHNICAL COMPETENCIES Listens to and communicates with physicians during patient encounters and creates thorough documentation as it happens which may include but are not limited to Patient medical history review of systems and physical exam Diagnoses prescriptions and instructions for patient or family members for follow up and/or self care Procedures and treatments performed by healthcare professionals including physician assistantsPatient education and explanation of risks and benefits Performs the following under the direction of the provider Transcribes patient orders including laboratory tests imaging tests etc Looks up pertinent past medical records Enters documentation on patient progress Lists proper diagnosis as well as any discharge/follow up instructions and prescriptions Prepares referral letters as directed by the physician and ensures that these are sent either through mail or fax on a timely basis to all health professionals involved in a patient s care This may also involve researching and confirming correct contact information for referring physicians making phone calls scheduling appointments and other clerical tasks as assigned Updates all electronic health records with focus on accuracy and timely completion Assures that all pertinent documentation requirements are met including the diagnosis disposition and patient education interventions Adheres to specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential Identifies mistakes or inconsistencies in medical documentation and alerts the physician for any inaccurate or incomplete information Proofreads all documents for any error in spelling punctuation and grammar Actively participates in continuing education and skills improvement trainings provided by the company and/or the client Develop and maintain a mutually respectful working relationship with all healthcare providers Performs other related functions that may be assigned by the physician or the management

National Capital Region-Pasig, Philippines

Posted 8 months ago

PHP 15,000 - 20,000 5 Vacancies


Requirements 1 BABAE2 25 40 y o 3 May karanasan sa pagkaka kasambahay o pagaalaga ng bata4 May maayos na pangangatawan5 May valid IDs or certificates tulad ng Barangay Police o kaya NBI Clearance 6 Willing mag trabaho ng hindi bababa sa anim 6 na buwan7 Ang sahod ay hindi bababa ng 6000 depende sa kwalipikasyon plus benefits SSS Philhealth at Pag ibig na HINDI ibabawas sa sweldo

Central Luzon-Olongapo City, Philippines