Clinical Services Specialist

Clinical Services Specialist
Company:

John Clements Consultants, Inc.


Clinical Services Specialist

Details of the offer

Responsibilities and Duties
Responsible for reviewing patient medical records to determine medical necessity and when necessary will communicate directly with patient’s insurance provider.
Performing Pre-Admission, Admission, Pay or Notification, Continued Stay, and/or Retro-Authorization reviews per policy and procedure
Responsible for promptly communicating with the team and leaders as requested regarding projects or cases assigned.
Addressing and rectifying any client complaints as assigned.
Staying abreast of relevant diagnostics, interventions, and pharmacological advances in medicine. As well as completing assigned education modules and trainings.

Required and Preferred QualificationsRequired Education: Bachelor’s Degree, Completion of a recognized course of study for health information practitioners
Certificates, Licenses, Registrations: US Registered Nurse license (USRN) or Licensed Practical Nurse (LPN) is required.
Preferred Computer Applications: Working knowledge of and basic skills with computers

Other detailsLocation: Bonifacio Global City
Schedule: Fixed Night Shift

Job Types: Full-time, Permanent


Source: Jora


Area:

  • Other Jobs / Other Jobs - Crafts

Requirements


Knowledges:

  • Basic

Related offers

Sonet-sdh-lead

Job Description: Key skills required for the job are: n SONET-SDH-L3, (Mandatory) and Routing and Switching-L3, (Optional). As a Lead Administrator, you should...


From Wipro - National Capital Region

Published 16 days ago

Financial content analyst

Responsibilities The team closely supports the Fixed Income Analytics - Product Development (FIA-PD) and the Fixed Income - Quality Assurance (FI-QA) teams to...


From Factset Philippines, Inc. - National Capital Region

Published 16 days ago

Manager recruitment process operations / talent acquisition operations

Purpose of the Job •The TA Operations Manager supports the Head of TA operations in driving the Talent Acquisition Operations strategy. •The role is designed...


From Pmi - National Capital Region

Published 16 days ago

Junior operations associate

Grow our supply of talented and reliable service providers by finding, onboarding, and training new service providers on the GoodWork platform. Track...


From Goodwork.Ph - National Capital Region

Published 16 days ago