Clinical Denials & Appeals Specialist

Tasq Work; Quezon City; On-site; PHP 600,000 - 1,000,000; Full time

Job summary

Tasq Work is seeking a Clinical Reviewer Specialist to maximize reimbursement by reviewing denied claims, analyzing medical records, and developing persuasive appeals. The role requires clinical credentials, coding and reimbursement knowledge, and strong written and verbal communication to support revenue recovery and denial prevention.

This is a work-from-office opportunity aimed at a clinically credentialed professional, with initial onsite duties in BGC/Taguig and eventual transfer to

Qualifications

• Active certifications – Coding Certifications
• Must have active PHRN; USRN is a plus
• Minimum of 3 years of experience in healthcare revenue cycle management, medical billing, claims processing, or denial management
• With IP DRG Coding, Inpatient Surgery Coding, Inpatient E&M / Professional Coding, Inpatient HCC / Risk Adjustment Coding.

Responsibilities

• Denial Review & Appeals: review denied claims, identify denial reasons, assess appeal opportunities.
• Communication & Collaboration: communicate persuasively with providers and payers, document findings.
• Performs other duties as assigned.

Job description

Tasq Work is seeking a Clinical Reviewer Specialist to maximize reimbursement by reviewing denied claims, analyzing medical records, and developing persuasive appeals. The role requires clinical credentials, coding and reimbursement knowledge, and strong written and verbal communication to support revenue recovery and denial prevention.

This is a work-from-office opportunity aimed at a clinically credentialed professional, with initial onsite duties in BGC/Taguig and eventual transfer to