Total 7 it support executive job vacancies in Health / Beauty / Fitness category in quezon city metro manila

LOOKING FOR FILIPINO CANDIDATES, RESIDING IN THE PHILIPPINES

Position                   : Utilization Review Nurse

Working Hours       : Monday-Friday: 8:00 AM – 5:00 PM Easter time

Salary                      : $1,200 - $1,400/ month

Job Summary:

The Utilization Review Nurse performs an integral role in our utilization review process by performing record review/case summaries, selection and application of guidelines/literature, quality assurance of physician reviewer reports, and administrative support, including phone and email, for both clinical and non-clinical staff.

Essentials Duties and Responsibilities:

To perform this job successfully, the employee must be able to efficiently and effectively perform each of the following essential functions. Reasonable accommodation may be made for individuals with disabilities.

These duties include but are not limited to:

• Perform all aspects of Utilization Review for Workers' Compensation and group health peer and independent reviews including record summarization and application/interpretation of literature/guidelines. 
• Serve as a liaison between physician reviewer staff and senior clinical leadership.
• Quality Assurance of independent and peer reviews prior to client-side submission.
• Assist the Case Analyst in times of high volume or coverage with administrative tasks such as phone or email support. 
• Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory and governmental agencies, attorneys, or members of the business community.  Ability to write letters, memos and reports that conform to prescribed style, format and grammatical correctness. Ability to effectively present information to top management, in claims and client settings. Strong written and verbal communication skills to effectively communicate with injured workers, medical professionals, employers, claims staff and others. 
• Math Skills: Ability to calculate percentages and statistics in compiling quality management reports.  Ability to convert statistical information into appropriate graphs for data analysis.
• Reasoning Skills: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical and/or clinical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Must have strong organizational, problem solving and time management skills. Sound professional judgement.

• At least 2 years of experience as a Workers Compensation Utilization Review Nurse in a US setting is required
• Must be a registered nurse in the Philippines; USRN licensed is a plus
• Ability to research relevant literature 
• Proficiency with Microsoft Office programs 
• Strong oral and written communication skills
• Strong statistical skills for compiling and presenting data
• Understanding and ability to apply quality assurance concepts

Position: Medical Billing Specialist

Working Hours: Monday - Friday; 8:30am - 5:30pm CST

Salary Range:  USD 900 - USD 1,400/month

Tasks:

• Coding and billing multiple CPT codes per date of service for the private practice.
• Stay up-to-date with remittances and ensure timely posting and reconciliation.
• Handle the submission of medical records as required.
• Initiate requests for rate increases from insurance companies.

• Minimum of 1 year of experience in accurately coding and billing multiple CPT codes per date of service within a private practice setting (essential requirement).
• Experience and comprehensive understanding of the credentialing process is highly advantageous.
• Familiarity with the process for requesting pre-authorizations from commercial insurance payers and Texas Medicaid Managed Care Organization is preferred.
• A positive attitude and a demonstrated track record as a medical billing rockstar.
• Ability to think creatively and adapt to changing circumstances as required.
• Proficiency in or willingness to learn how to utilize Waystar Clearing House (training will be provided if necessary).
• Previous experience in billing for speech therapy services is a significant advantage.

LOOKING FOR FILIPINO CITIZENS BASED IN THE PHILIPPINES

Job Title: Medical Writer | Content Writer

Work Hours:  Flexible Hours, as long as the work is being done (they're in GMT+4)

Holidays : TBD

Pay Range: $900- $1200

Duties and Responsibilities:

• Write all the various components required for service plans, ensuring accuracy, clarity, and consistency.
• Create service plans for their customers
• Produce a minimum of 1-2 pieces of content per day, provided all necessary information is available.
• Collaborate with cross-functional teams to gather relevant information and insights for content creation.

• Proficiency in Microsoft Office suite.
• Familiarity with Box software (training provided), similar to Dropbox, for efficient document management.
• Excellent communication skills, both written and verbal, with the ability to convey complex information in a clear and concise manner.
• A minimum of 3 years of experience in healthcare or social work is preferred, demonstrating a solid understanding of industry terminology and practices.
• Strong organizational skills with the ability to prioritize tasks and meet deadlines.
• Detail-oriented, ensuring accuracy and consistency in all written materials.

Salary: P40,000-60,000 (Monthly Package)

Schedule: Monday – Friday (8.00 AM- 5.00 PM ACT) *with required flexibility for overtime and weekend work when needed

What are we looking for?

Skills Required:

• Bachelor’s degree in information management, Information Technology, Information System, Computer Science, Computer Engineering, or equivalent.
• At least 2 years of experience in triaging within a fast-paced client servicing, retail, or technical support environment is required.
• Experience should include strong troubleshooting and problem-solving skills, along with the ability to effectively prioritize and effortlessly adjust to evolving scenarios.
• Strong commitment to delivering exceptional client service and effective communication skills, both in written and verbal form. Proven track record in cultivating positive relationships with internal and external stakeholders.

Nice to Have:

• Proficient in using JIRA or equivalent
• Technical understanding and demonstrated experience including Microsoft Office suite, .NET frameworks and SQL), Hardware OR Healthcare industry, especially Pharmacy Dispensary duties (such as Pharmacy Dispense Technicians as well as Pharmacists).

What will you do?

• Responsible for both Inbound and Outbound contacts from clients seeking first-line response to Technical, Procedural and General enquiries for company’s Products & Services, inhouse application/software issues across all channels.
• Diagnose, Investigate, Resolve and Escalate client cases, employing technical knowledge, skills, experience and judgement to ensure performance within defined Service and Quality standards.
• Duties are normally performed within a Call Centre environment, and you must be available to work variable shifts, including After Hours and on the weekend as required by the business.
• Ownership of cases including meeting commitments, following-through and working with other parts of the organization to ensure a consistent and compliant approach to the relationship management of our clients.
• Identify areas of systemic importance (including in Product, Service, and Operations) and escalate to allow insight, remediation and knowledge sharing across teams.

Join the awesome team and enjoy these benefits & perks:

• Temporary Home-based
• Medical, Dental Coverage and Life insurance
• Paid Vacation and Sick Leave (with Quarterly Sick Leave Conversion)
• Competitive salary package and annual appraisal
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Complimentary Sleeping Quarters, Coffee at no cost
• Complimentary Office Fitness and Wellness Facilities at no cost
• Regular Company Events, Work Life Balance, and Career growth opportunities
• Accessible location at the heart of Metro Manila --- the Mega Tower, EDSA

JOIN CONNECTOS NOW!

ConnectOS is certified as a Great Place to Work and is a top-rated Philippines employer of choice.

Our client is an innovative IT Services and IT Consulting company based in Sydney, Australia. They excel in creating software solutions for pharmacies that improve workflow efficiency. They also offer commercial payment solutions to renowned corporate entities in Australia, including government bodies and private enterprises in the real estate industry. With the capability to process millions of transactions annually, their customers benefit from a secure, efficient, and branded experience.

#ConnectOS #TeamConnectOS

Equal Employment Statement

Employment decisions at ConnectOS will be conducted without consideration of factors such as age’, race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.

**LOOKING FOR FILIPINOS BASED IN THE PHILIPPINES!!!

Position:  Medical Billing Specialist 

Salary Range:  USD 900-1500 /month

Working Schedule : Monday to Friday 9:00 AM to 5:00 PM EST | 10:00 PM to 6:00 AM Manila Time 

ABOUT THE COMPANY

The company provides individualized services to individuals diagnosed with Autism Spectrum Disorders and other developmental disabilities. 

Responsibilities:

• Responsible for verifying and posting charges, include working denials and rejections.
• Manage enrollment, management, claim submission, and payment posting of patient assistance programs.
• Responsible for posting and monitoring payments from patients and third-party payers.
• Research and correct all insurance denials.
• Verify and obtain required pre-certifications, pre-authorization, pre-determinations or other required notifications from third-party payers.
• Identify delinquent accounts for enhanced collection activities and/or follow-up.
• Perform collection actions, including contacting patients, insurance companies, and/or patient assistance programs by telephone and/or letter and resubmitting claims, as necessary.
• Follow up on unpaid or improperly paid claims as necessary.
• Check and resolve tasks assigned through email, EMR, and other internal communication channels.

• 5+ years of medical billing assistant
• Tools: Google workspace, Microsoft Excel(required) Trello (peferred)
• Must have experience using any CRM tool
• Good written and verbal communication skills

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES

Position: Medical Virtual Assistant

Working Hours: 1 am- 9 am Philippine Standard Time for 2 or 3 days; the rest can be flexible

Salary Range: up to 1000 USD

About the company: 

The counselors at [Confidential Company] strive to help you obtain self knowledge, practice self control, and gain clarity of mind. We do this so that you may learn to live more fully, laugh more openly, and love more unconditionally. Our goal is to offer fully engaged and guided conversations with someone wise and merciful.

Regardless of the treatment style or modality used in counseling, the rapport between patient and therapist is the most essential ingredient of growth. The “who” almost always outweighs the “how.” Ask us to explain this further.

We bring backgrounds in psychiatry, nursing, guidance and education, couples counseling, mindfulness, chronic pain management, forensic counseling, sports coaching, community mental health, pastoral counseling, biofeedback, hypnotherapy, traumatology, sex therapy, grief counseling, and psychological testing.

About the job:

We are currently seeking a Medical Virtual Assistant to join our team. The ideal candidate will play a crucial role in our healthcare administration, focusing on patient scheduling, insurance verification, billing insurance, and submitting claims. As a Medical Virtual Assistant, you will be responsible for efficiently managing patient appointments, ensuring accurate insurance information, handling insurance billing procedures, and submitting claims in a timely manner.

Duties and Responsibilities:

• Schedule and coordinate patient appointments, optimizing the healthcare provider's daily schedule.
• Verify patient insurance information to ensure accuracy and eligibility.
• Manage insurance billing processes, including coding and submission of claims.
• Submit insurance claims promptly, following up on any discrepancies or denials.
• Communicate effectively with healthcare providers, patients, and insurance companies to resolve any billing-related inquiries.
• Maintain up-to-date knowledge of medical coding and billing regulations.
• Collaborate with the healthcare team to streamline administrative processes and improve overall efficiency.
• Ensure compliance with all relevant healthcare regulations and standards

• At least 1 year of experience in the same role is preferred.
• Must be knowledgeable using Google Workspace.
• Familiarity with HIPAA compliance is an advantage.
• Familiarity with US health insurance is also a plus.

**LOOKING FOR FILIPINOS BASED IN THE PHILIPPINES!!!

Position:  Medical Billing Specialist 

Salary Range:  USD 900-1500 /month

Working Schedule : Monday to Friday 9:00 AM to 5:00 PM EST | 10:00 PM to 6:00 AM Manila Time 

ABOUT THE COMPANY

The company provides individualized services to individuals diagnosed with Autism Spectrum Disorders and other developmental disabilities. 

Responsibilities:

• Responsible for verifying and posting charges, include working denials and rejections.
• Manage enrollment, management, claim submission, and payment posting of patient assistance programs.
• Responsible for posting and monitoring payments from patients and third-party payers.
• Research and correct all insurance denials.
• Verify and obtain required pre-certifications, pre-authorization, pre-determinations or other required notifications from third-party payers.
• Identify delinquent accounts for enhanced collection activities and/or follow-up.
• Perform collection actions, including contacting patients, insurance companies, and/or patient assistance programs by telephone and/or letter and resubmitting claims, as necessary.
• Follow up on unpaid or improperly paid claims as necessary.
• Check and resolve tasks assigned through email, EMR, and other internal communication channels.

• 5+ years of medical billing assistant
• Tools: Google workspace, Microsoft Excel(required) Trello (peferred)
• Must have experience using any CRM tool
• Good written and verbal communication skills