Associate-Healthcare

Angeles - Philippines

Monthly Salary: Not Disclosed

Posted on: 3 hours ago

Vacancies: 1 Vacancy

Job Summary

Clinical operations across Utilization Management and Care Management including:
Reviewing medical documentation and pre-authorization requests
Conducting concurrent and retrospective reviews
Managing member care coordination follow-ups and clinical documentation
Voice & Non-Voice

Qualifications :

Active USRN or PHRN license
With good to excellent English communication skills
No clinical and BPO experience required but preferred

Remote Work :

Employment Type :

Full-time

Clinical operations across Utilization Management and Care Management including:Reviewing medical documentation and pre-authorization requestsConducting concurrent and retrospective reviewsManaging member care coordination follow-ups and clinical documentationVoice & Non-VoiceQualifications : Activ...

Key Skills

Revenue Cycle Management
HIPAA
Healthcare Management
PMBOK
Microsoft Outlook
Project Leadership
Data Management
Project Management
Affiliate Marketing
Project Management Software
Supervising Experience
Workday

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About Company

Sutherland

Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more

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