Medical File Reviewer/PHRN

5 days ago


Romblon, Philippines Accolade Consultants Full time

Job Description Prepares case files and Disability Benefits Questionnaires (DBQ) assigned in the client portal. Reviews and bookmarks medical records and creates a synopsis in order to answer medical opinion questions, if needed, based on the veteran's medical history. Remotely assists the medical provider during a scheduled appointment of a veteran by: Accessing, navigating, and preparing different apps in the medical provider's computer in the exam room prior to the scheduled appointment. Remotely interviewing the veteran via the approved video or telephone conference platform. Transcribing the medical history based on the veteran's answers to the questions in the DBQ. Remotely assisting the medical provider by documenting all the physical examination findings in the appropriate section of the DBQs. Completes all the sections of the DBQ spreadsheets after each appointment. Meets with medical providers to discuss each assigned case in order to determine the final diagnosis per DBQ and for approval of medical opinions. Transfers data from the DBQ spreadsheet to the client portal. Submission of DBQs in the client portal. Answering queries/addendum reports from the client's QAs. Coordinates with the medical providers and other team members regarding the scheduled appointments per day. Qualifications BSN, active PHRN license Must have good communication skills in order to assist the veterans, medical providers, and colleagues well. Must be able to work independently, with minimal supervision. Must be flexible in work schedule changes, as needed. Must take accountability for all assigned cases. Must be proficient with the use of MS applications such as word, excel, and PowerPoint. Assists the Lead and/or Trainer in the improvement of the process. Assists in the creation of process-related templates, if needed. Perform other job‑related duties as assigned by your supervisor or manager. Computer specs Requirement (work from home set up) Fiber connection and has at least 20mbps download and upload speed Has available backup internet minimum of 15mbps download and upload speed Main desktop/laptop must be i5 to i7 w/ 8GB RAM ; 4th generation and above Backup desktop/laptop must be i3 to i5 w/ 8GB RAM ; 4th generation and above #J-18808-Ljbffr



  • Romblon, Philippines NTT DATA North America Full time

    Join to apply for the BPO Clinical Review Specialist role at NTT DATA North America Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Roles and...


  • Romblon, Philippines Neolytix Full time

    Medical Billing Specialist - Accounts Receivable (WFH) Neolytix, Quezon City, National Capital Region, Philippines About Neolytix Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the...


  • Romblon, Philippines Virtual Rockstar Careers Full time

    Medical Biller / Accounts Receivable Specialist – Virtual Assistant for a long‑standing non‑profit educational therapeutic agency in Kansas City, Missouri. Remote position. Combine full‑cycle medical billing with accounts receivable (AR) management and occasional administrative support. Responsibilities Collect and enter patient demographics,...


  • Romblon, Philippines BruntWork Full time

    Join to apply for the Administrative Assistant – Tax Firm role at BruntWork . The Remote Administrative Assistant provides virtual administrative and client support to ensure the smooth and efficient operation of the tax firm. This individual is responsible for inputting tax return information into the firm’s proprietary software for management approval,...

  • Operations Manager

    2 weeks ago


    Romblon, Philippines OPTIMAL Full time

    ABOUT US: OPTIMAL is a property management support company that works with real estate investors and property managers across North America, helping them achieve Time, Financial, and Location freedom through the implementation of remote property management techniques with back-office management and fulfilment. Our Leadership Team is made up of Ex-Big 4...

  • IT Support Specialist

    4 weeks ago


    Romblon, Philippines Total Shape Full time

    Overview Company : Total ShapeLocation : RemoteSalary : $3,500/month Total Shape is a community dedicated to making the pursuit of a healthier lifestyle both achievable and straightforward. We pride ourselves on delivering comprehensive information that will help you achieve your desired fitness goals with the proper diet, supplements, and exercise regimen....


  • Romblon, Philippines Huzzle.com Full time

    2 weeks ago Be among the first 25 applicants About Huzzle At Huzzle, we connect high-performing B2B sales professionals with global companies across the UK, US, Canada, Europe, and Australia. Our clients include startups, digital agencies, and tech platforms in industries like SaaS, MarTech, FinTech, and EdTech. We match top sales talent to full-time remote...


  • Romblon, Philippines Inside Out Full time

    IMPORTANT WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED: ENGLISH LEVEL IS REQUIRED, THE SELECTED CANDIDATE WILL BE SPEAKING STRICTLY IN ENGLISH DURING THEIR WHOLE SHIFT. " PLEASE SUBMIT YOUR RESUME AND AUDIO RECORDING IN ENGLISH" Job Title: Social Media Content Creator/Manager Job ID: BRITIA1 Industry: Aesthetics / Medical Spa Location: LATAM / PH / S.A...

  • US Tax Manager

    1 day ago


    Romblon, Philippines TOA Global Full time

    Global Talent Pipeline Development Officer @ TOA Global | Constantly striving for Greatness, Fueled by Passion and Determination US TAX MANAGER Location : RemoteShift : 9:00 PM - 6:00 AM PHTExperience Required : Minimum 5+ years' experience in progressive tax experience & 5+ years of managing a team. Unlock your potential! At TOA Global, we have a deep...


  • Romblon, Philippines SupportNinja Full time

    Work Setup: Remote Type of Contract: Full-Time Schedule: 8:30 AM- 5:30 PM EST Start Date: ASAP Equipment: Bring-Your-Own Device (BYOD) As a General Accounting Specialist you will play a vital role in helping charitable organizations receive grants through various fundraising avenues. You will meticulously monitor incoming charitable donations through...