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R1 RCM
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  • Team Lead - Same Day Surgery Coding  

    - Quezon City

    Responsibilities
    Manage and supervise the day-to-day activities of the same day surgery coding teamProvide guidance and support to the team members to ensure that they perform their duties effectively and efficientlyConduct regular performance evaluations of team members to identify areas of improvement and provide feedbackDevelop and implement coding policies, procedures, and best practices that align with industry standards and regulatory requirementsCollaborate with the compliance department to ensure that all coding practices adhere to regulatory guidelines and standardsOversee the coding process, including coding validation, quality control, and review of all coded dataEnsure that all coding is done in a timely and accurate manner to meet established organizational benchmarks and deadlinesMonitor coding productivity and identify opportunities for process improvementStay up-to-date on changes in coding guidelines, regulations, and laws, and provide education and training to the coding team as neededManage the team's work schedule and ensure adequate coverage is provided at all timesServe as a liaison between the coding team and other departments, including the revenue cycle team, clinical documentation improvement team, and compliance department
    Qualifications
    Bachelor's degree in Nursing or a related field in healthcareAt least 3 years of experience in medical coding, with a minimum of 1 - 2 years of experience in same day surgery codingActive COC, CPC or CCS Certification.Strong knowledge of ICD-10-CM/PCS and CPT coding systems, coding guidelines, and regulationsExcellent leadership and management skills, with the ability to motivate and lead a teamStrong organizational and problem-solving skills, with the ability to multitask and prioritize tasks effectively

  • Healthcare Customer Service Representative  

    - Quezon City

    We are hiring for Healthcare Customer Service Representatives for QC!
    What will you do in this role?You will be responsible for providing expertise and excellent customer service support that meet the needs of our patients by educating them on balance billing, payment processing, available payment arrangement, dispute resolution, collecting accurate insurance information, verifying benefits and eligibility, appointment setting, treatments and follow ups, patient support, also, coordination with the doctor’s office to secure authorization, among others.
    Qualifications:Completion of at least 2 years bachelor's/associate degree (diploma is required)Must have at least 1 year and 6 months of BPO int'l voice experience.Ability to work in an onsite setup in QC and flexible with graveyard and rotating shifts.
    What’s in it for you?• Competitive Total Rewards Package• Target variable incentives• Medical Plan (HMO) from Day 1 of employment with free dependents• Life insurance• Paid Time-Off Benefits• Sick Leave Conversion• Night Differential offered• Employee Referral Program• All Mandatory Statutory Benefits
    #RecruitmentCFS-----------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".

    Our Cubao Recruitment Hub is open to process walk in applications.Address: 18th Floor, Cyberpark Tower 2, Cubao, Quezon CitySchedule: 12PM-5PM
    *Please bring 2 valid IDs and a copy of your resume.

    #R1Philippines #AlltogetherBetter #R1JoinTheJourney

  • In-Patient Medical Coder | WFH | Competitive Salary |  

    - National Capital Region

    REWARDING SIGN ON BONUS AWAIT SUCCESSFUL HIRES!!
    We are looking to hire experienced Inpatient Medical Coders
    Requirements:Medical Allied Course GraduateWith at least 2 Years of Inpatient Coding Experience.Must have an active Medical Coding Certification (CIC/CCS/CPC) or CPC-A/CCA as long as you have 1 year and 6 months of IP Coding experienceExperience in any EMR systems such as Epic, Cerner & Meditech

    Job Highlights:Competitive salary package.Certification Renewal Sponsorship.HMO on day 1 & a lot more!
    -----------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".
    To kickstart your application journey with us, please sign up the link below:https://r1rcm.wd1.myworkdayjobs.com/R1RCM/job/Taguig-City-Metro-Manila/Inpatient-Medical-Coder_R240000004200
    #R1Philippines #AlltogetherBetter #R1JoinTheJourney

  • Clinical Inpatient Coding Trainer  

    - Quezon City

    As an Inpatient Trainer, your primary roles will be onboarding and training new hires through different modules of the Clinical Skills University program, which includes but not limited to domain training, charts immersion, and process training. You are also expected to provide support during ramp phase and do random internal quality reviews aimed at identifying improvement and education areas that would benefit the staff. Additional duties, such as responding to support questions and providing continuous training and /or upskilling and support to the team, are also included in this role. You are expected to be up to date on the policies and guidelines by doing minimal production.

    ResponsibilitiesTraining & ramping new hiresLeading content and module developmentCoordinating and conducting CSU classesCreating and administering assessments to evaluate skills and knowledge of studentsCommunication with new staff and leadershipEMR Navigation Training and Application TrainingPrescribed progress milestone reviewDaily and weekly reporting to managementRandom QA of trainees' caseworkUpdating of modules on need basis and contribution of learning materials as neededOther duties as assigned by leadership (special projects, assessments, etc.)Calibration sessions between Operations, Quality, and Training ensuring knowledge alignmentProduction when available:Review inpatient medical records for validation of DRG assignment.Provide detailed rationale and supporting evidence for recommendations and findingsUtilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinic

    QualificationsEducation – BS degree with a high level of knowledge and relevant work experience+5 Years of total work experience in Medical Coding, with at least 1.5 years of training specific experienceCurrent AHIMA/AAPC credentials such as CPC, COC, CCS-P, CCS, or CIC required. Clinical Documentation Improvement (CDI) credentials such as, CDIP and/or CCDS is a plus.Experience in any EMR Systems such as Epic, Cerner, and MeditechEffective communication skills, presentation skills, and proficiency in MS Excel & PowerPoint

  • USRN - Utilization Review Author | WFH | 100K SOB |  

    - National Capital Region

    LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.
    Rewarding Sign On Bonus Awaits You!
    We are hiring for USRN - Utilization Review Author
    Qualifications:Bachelor of Science in NursingMust have a current Registered Nurse license (Mainland: USRN)At least 2 years of recent hospital-based Utilization Review experience or Case Management ExperienceAt least 1 year & 6 months of clinical hospital experienceExperience with InterQual and/or MCG
    Job Highlights:Competitive salary package.HMO on day 1 & a lot more!
    What are you waiting for?
    APPLY NOW!
    -------------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".

  • Same Day Surgery Medical Coder | Rewarding Sign-On Bonus |  

    - National Capital Region

    LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.
    Exciting sign-on bonus awaits future hires!
    We are hiring for Outpatient Medical Coders- SDS!
    Qualifications:Must be a BS Nursing Graduate with Active PHRN LicenseHas an Active Medical Coding Certification (CPC, COC, CIC or CCS)With at least 2 Years of Same-Day Surgery Medical Coding ExperienceStrong familiarity with using EMR/EHR (Electronic Medical Records or Electronic Health Records) systems.
    Job HighlightsCertification Renewal Sponsorship. (Upon regularization)R1 AllowancesComplexity Allowances, etc.Sign-On Bonus!!!
    What are you waiting for?
    APPLY NOW!
    --------------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".
    To kickstart your application journey with us, please sign up the link below:https://r1rcm.wd1.myworkdayjobs.com/R1RCM/job/Taguig-City-Metro-Manila/Outpatient-Medical-Coder_R240000004203
    #R1Philippines #AlltogetherBetter #R1JoinTheJourney

  • REWARDING SIGN ON BONUS AWAIT SUCCESSFUL HIRES!!
    We are looking to hire experienced Inpatient Medical Coders and Same Day Surgery Medical CodersWe have more than 100 vacancies to fill!
    Requirements (Inpatient Medical Coders):Medical Allied Course GraduateWith at least 1 Year of Inpatient Coding ExperienceMust have an active Medical Coding Certification (CIC/CCS/CPC) or CPC-A/CCA as long as you have 1 year and 6 months of IP Coding experienceExperience in any EMR systems such as Epic, Cerner & Meditech

    Requirements (SDS Medical Coders):Medical Allied Course GraduateWith at least 1 Year of SDS Medical Coding ExperienceMust have an active Medical Coding Certification (COC/CCS/CPC) or CPC-A/CCA

    Job Highlights:Competitive salary package.Certification Renewal Sponsorship.HMO on day 1 & a lot more!
    -----------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".
    To kickstart your application journey with us, please sign up the link below:https://r1rcm.wd1.myworkdayjobs.com/R1RCM/job/Taguig-City-Metro-Manila/Inpatient-Medical-Coder_R240000004200
    #R1Philippines #AlltogetherBetter #R1JoinTheJourney

  • Registered Nurse (USRN)  

    - Quezon City

    LOOKING FOR CANDIDATES RESIDING IN THE PHILIPPINES.


    We are hiring for US Registered Nurses!
    Qualifications:BS Nursing GraduateAt least 3-5 years hospital bedside experience (ICU, Medical Surgical, ED, Telemetry)Active USRN LicenseWilling to work onsiteStrong background in fundamentals of nursing and medical & surgical nursingKnowledgeable about disease process, signs & symptoms, diagnostic test & management of conditions
    Job HighlightsSign-On BonusR1 AllowancesComplexity Allowances, etc.
    What are you waiting for?
    APPLY NOW!
    --------------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".

  • Clinical Appeals Author | WFH |  

    - National Capital Region

    LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.
    We are hiring for Clinical Appeals Writer!
    Qualifications:Basic Clinical Appeals writing experienceAt least 1+ years of Clinical / Hospital Experience.BS Nursing graduate.With an active PHRN / USRN LicenseStrong familiarity with using EMR/EHR (Electronic Medical Records or Electronic Health Records) systemsKnowledgeable with InterQual or MCG (Medical Care Guidelines)
    Job Highlights:Competitive salary package.HMO on day 1 & a lot more!
    What are you waiting for?
    APPLY NOW!
    -----------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".
    #R1Philippines #AlltogetherBetter #R1JoinTheJourney

  • Healthcare Customer Service Representative  

    - Quezon City

    We are hiring for Healthcare Customer Service Representatives for QC!
    What will you do in this role?You will be responsible for providing expertise and excellent customer service support that meet the needs of our patients by educating them on balance billing, payment processing, available payment arrangement, dispute resolution, collecting accurate insurance information, verifying benefits and eligibility, appointment setting, treatments and follow ups, patient support, also, coordination with the doctor’s office to secure authorization, among others.
    Qualifications:Completion of at least 2 years bachelor's/associate degree (diploma is required)Must have at least 1 year and 6 months of BPO int'l voice experience.Ability to work in an onsite setup in QC and flexible with graveyard and rotating shifts.
    What’s in it for you?• Competitive Total Rewards Package• Target variable incentives• Medical Plan (HMO) from Day 1 of employment with free dependents• Life insurance• Paid Time-Off Benefits• Sick Leave Conversion• Night Differential offered• Employee Referral Program• All Mandatory Statutory Benefits
    #RecruitmentCFS-----------------NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.
    If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition phhrtalentacquisition@r1rcm.com or report to our Ethics Point Hotline, by phone or online access https://r1hotline.ethicspoint.com Philippines: 18.001.322.0411 or contact Compliancephl@r1rcm.com immediately".

    Our Cubao Recruitment Hub is open to process walk in applications.Address: 18th Floor, Cyberpark Tower 2, Cubao, Quezon CitySchedule: 12PM-5PM
    *Please bring 2 valid IDs and a copy of your resume.

    #R1Philippines #AlltogetherBetter #R1JoinTheJourney

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