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The Report Specialists support our Telephonic Triage service by processing calls and generating reports from supervisors or injured workers that do not require injury triage, yet fulfill client reporting requirements. Essential Duties and Responsibilities:Gathers information from injured workers or Supervisors and enters pertinent data into proprietary software to populate reports which fulfill our client specific requirements for reportingImmediately transfers injury calls to a Triage Nurse that were routed to him or her in errorAssists injury triage staff with data related questions as needed to process client reporting needsAnswer customer service calls and process non-triage client requests as needed relating to procedural and insurance questionsAssist with data entry into Medfiles/Afkam system as necessaryMust effectively and appropriately assist clients with problem solving any issues associated with their use of Medcor Injury Triage servicesResponsible for personal schedule adherence and accurately reflecting all shift activities using the phone systemFollows HIPAA Compliance Policies to protect the confidentiality of informationResponsible for projects and duties delegated by the Operations Director or Manager
Central Visayas-Cebu City, Philippines
U.S Registered Nurse,
PHP 70,000 - 80,000 15 Vacancies
Our ClientAn exciting opportunity has become available with a global clinical outsourcing company for the role of Utilization Review Nurse (USRN). Our ClientAn exciting opportunity has become available with a global clinical outsourcing company for the role of Utilization Review Nurse (USRN). Location BGC, Taguig City, Philippines Job SummaryThe role will manage to review patient’s medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, and authorization denials for hospitalized, and or in-patients. Responsibilities · The utilization review nurse works with the multidisciplinary team to assess and improve the denial management, documentation, and appeals process of such findings. · Review of patient’s clinical information for efficiency · review of precertification requests for medical necessityMay provide guidance and coaching to other USRNs and participate in the orientation of newly hired USRNsPerforms other duties as assignedQualifications · Must be a U.S Registered NurseWith at least 6 months of clinical experience or 2 years Healthcare BPO experience.must be available to work any assigned shift and/or department during a work weekAbility to perform effectively in a fast-paced environmentComputer literacy on Microsoft Office products.type minimum of 30 wpm with excellent accuracyExcellent communication and people skills. If this job interests you, Then Lennor Metier would love to hear from you! Follow the application process and a member of our In-House Recruitment team will be in touch. About Us Lennor Metier is here to support you through the process, prepare you for an interview and pitch you to your potential employers!We are a trusted executive recruitment company in the Philippines with a combined twenty (20) years of solid experience in hiring top calibre professionals across an array of industries.
National Capital Region-Taguig, Philippines
Company Nurse Fixed Work Schedule & Weekends off
PROWEAVER, INC. Proweaver is a world-class website design company with clients all over the U.S. We are based in Cebu City and have been in the business for over thirteen (13) years. We are URGENTLY HIRING for COMPANY NURSE (Night Shift). Responsibilities:Evaluate employees’ health status; recommend if they are fit-to-workProvide initial diagnosis on medical conditionsProvide emergency care and liaise with accredited health institutions as necessaryResponsible in monitoring and regulating health recordsMaintain an inventory of medicines and other health suppliesOther tasks as assigned by the Management Qualifications:2 years of working experience in an industrial firm or in a clinical setting (preferably in a BPO company)Philippine Registered NurseTrained to deal with emergency situations; ability to think on your feetExcellent English communication skills, both written and oralWilling to work FULL-TIME: 10 pm to 7 am ( Weekends Off)Currently residing at CEBU CITYAPPLY. GET HIRED AND ENJOY OUR COMPANY BENEFITS! FIXED Work Schedule (Monday-Friday 10 PM to 7 AM) + Weekends OffGuaranteed NO work during US holidaysMedical and Dental insurance benefits Fun work environmentEXCITING company events (Summer outing, Thanksgiving party, etc.) UNLIMITED supply of coffee and drinksFREE meal every Friday Don't forget to LIKE & FOLLOW our FB page, to know more about our company: https://www.facebook.com/proweavercareer/
Central Visayas-Cebu City, Philippines
Work for the biggest Filipino-owned stock life insurance company.
PHP 15,000 - 20,000 1 Vacancy
JOB SUMMARYResponsible for conducting efficient and effective benefit orientation to corporate clients and brokers, provides immediate customer service and improve orientation processes to meet client’s expectations.DUTIES AND RESPONSIBILITIESPromotes utilization management by inculcating cost efficient availment process such as redirection of members to less expensive facilities to preserve the benefit limits.Facilitates all orientation schedules as requested by the Account Executives.Submits orientation report to Supervisor and Account Executives and relay all client concerns and issues to concerned units.Address all concerns raised during orientation and relay all client concerns/issues toconcerned units. Provide immediate feedback within 24 hrs to all concerns raised during the orientation.Establishes and maintains personal contacts with existing clients, agents and brokers to enhance value and promote efficient customer servicing.Updates the orientation material from time to time based on account requirements and recent industry developments.Performs other duties as may be assigned by the immediate superior. MINIMUM QUALIFICATION GUIDENursing Graduate (Licensed or not licensed)With above average written and verbal communication skillsExcellent presentation skillsProficient in the use of word processor, spread sheet and presentation software
National Capital Region-Makati, Philippines
bound to Jeddah, KSA
SAR 0 - 10,000 100 Vacancies
FemaleGraduate og BS NursingMust be a Registered NurseWith at least 2 years experience as a Staff Nurse in the Medical Centeror HospitalWith KSA Prometric and Dataflow ( If none will be assisted in the process)\With MOH / Saudi Council License ( ex-abroad)
National Capital Region-Pasig, Philippines
Earn up to 30K plus other perks and benefits!
PHP 15,000 - 20,000 1 Vacancy
MedSpecialized, Inc. is looking for US Registered Nurses!SEASONED CANDIDATES EARN UP TO 30K PER MONTH!General Description: Provides virtual medical assistance to US medical clinics and healthcare facilities by taking care of various office processes. Location: 8th Floor 2Quad Bldg., Cardinal Rosales Ave., Cebu Business ParkMEDICAL OMBUDSMANResponsibilities:Collect all lab reports, stamp today’s date on them, distributes to the appropriate provider for review and instructions Carry out the orders and make notes in the patients’ chartsScan final reports into patients charts once cleared by the providerReceive all phone calls from other providers’ offices, pharmacies, insurance companies, and patients with medical questions and for refills of medications.Interact with drug representatives in reference to medications and meeting with providers and staff in reference to medication and insurance change.Set up a time for education for staff on new medications.Responsible for all insurance prior to approvals on all required medications and procedures and notifies the patient once approvedResponsible for speaking with all drug representative that visit the office in person and adhere to provider drug representative protocol as well as HIPAA guidelines.Responsible for speaking to all patients requesting a refill or medical information at the front desk.Collect and process all referrals for appointments and biologicsReferrals should be dated when finished and information briefed on form and copy returned to provider and documented in chart and/or tumor log as well as notify the patientScreen the faxes and distributes and handles appropriately – Ex. List of patients referred by a provider or clinic that has not received any correspondence from our officeHandle all medical correspondence for Provider they represent.Help with patients on the floor as called upon to do so.Requirements:A Bachelor's Degree in NursingActive USRN (California) LicenseCMA, LPN, or experience with CDTKnowledge of medications (Dermatology) preferredFamiliar with OSHA, HIPAA, State, and Federal guidelines and MIPSGood English communication skills, both oral and writtenComputer literacy (should have knowledge of MS Office, including Word, Outlook, and Excel)Willingness to work US shiftsRewards Package: On top of a competitive salary, our employees enjoy these perks and benefits:Relocation allowance for new hires (from Outside Cebu)Free lunch/dinner and unlimited coffee and ice cream bars dailyHealth insurance with 1 free dependentLife insuranceSalary Increase on Regularization for outstanding performersCompany-sponsored outingsInterest-based employee clubs (DOTA, Basketball, Dance, Music, Photography, Yoga)International travel opportunities (India and US office)Paid time off—public holidays, vacation, and personal time offDiscounted Anytime Fitness Gym membershipDisclaimer for salary ranges: Salary ranges may not be applicable to all. Depending on the level of experience, educational background, and potential for growth seen during interviews, offer may go higher or lower. Pro tip: prepare for that interview and impress the hiring managers!For more information about our company, visit our website:http://www.medspecialized.com
Central Visayas-Cebu, Central Visayas-Cebu City, Philippines