Clinical Account Specialist – Nursing Graduates

🔥 2 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

⚪️ Entry-level

✨ Clinical Specialist

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Neolytix

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Neolytix is a Management Service Organization (MSO) dedicated to optimizing healthcare organizations through revenue and cost transformation. With over 11 years of experience, Neolytix supports independent healthcare providers by offering services such as Revenue Cycle Management, medical billing, practice marketing, and remote patient monitoring. Their goal is to enhance monthly collections, streamline office administration, and improve patient experiences, allowing physicians to focus more on providing quality care.

📋 Description

• Review clinical documentation and chart notes for completeness, medical necessity, and accuracy • Support authorization, utilization review, or documentation workflows • Apply clinical judgment to prior authorization, precertification, or utilization review requests • Navigate high-volume queues and multiple clinical and workflow systems • Meet daily productivity and turnaround expectations • Document findings, decisions, and communications accurately • Coordinate with physicians, nurses, and other clinical staff • Escalate complex or time-sensitive cases and track them through resolution • Maintain compliance with HIPAA, payer requirements, and internal quality standards

🎯 Requirements

• Completed nursing degree • Healthcare BPO experience • Experience with hybrid clinical-operations work • Ability to work on queues, productivity targets, multiple systems, and service-level expectations • Ability to review clinical documentation and chart notes for completeness, medical necessity, and accuracy • Clinical judgment for prior authorization, precertification, or utilization review requests • Experience navigating EHR/EMR systems, payer portals, and case management or workflow tools • Ability to meet daily productivity and turnaround expectations • Accurate documentation and audit-ready recordkeeping • Knowledge of HIPAA, payer requirements, and internal quality standards • Experience in US healthcare is indicated in the application questions

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