Role Jobs in Malabon City

MetHealth - Quezon City, Rizal

- Interpret claim policies for internal and external stakeholders. - Document all case-related activities in the patient record. - Summarize provider communications in clear, accurate notes. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Perform peer-to-peer reviews when criteria are not met. - Interpret provider documentation for utilization decision-making. - Submit cases requiring higher review to Medical Directors. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Track and store all secondary review outcomes. - Update patient files with new diagnosis or service authorizations. - Monitor open case files for follow-up deadlines. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Validate compliance with pre-authorization timeframes. - Ensure processes comply with CMS and payer-specific rules. - Assist in training programs to enhance quality. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Act as a subject matter expert for complex case handling. - Provide feedback and coaching to peers. - Participate in team meetings and knowledge-sharing sessions. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Ensure case files are prepared for peer review. - Assist providers in documenting care accurately. - Translate verbal updates into formal written notes. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Ensure timely escalation of high-risk cases. - Review departmental adherence to policy changes. - Maintain compliance records for all staff reviews. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Evaluate potential patient admissions for eligibility and clinical appropriateness. 34000

from: jobslin.com - 12 days ago

Bernette Estacio Data Processing Services - Tanza, Cavite

Job Summary: We are seeking a motivated and detail-oriented Appointment Setter to join our team. In this role, you will be responsible for contacting potential clients, introducing our products 22000

from: jobslin.com - 3 days ago

MetHealth - Pasay, National Capital Region

• Keeps patients engaged with services 24000

from: jobslin.com - 14 days ago