Clinical Review Specialist
1 week ago
The Review Specialist reviews and summarizes medical records related to surrogacy and fertility, ensuring accuracy and compliance for clinic submissions. Your Role Here’s what you will be doing: Review collected medical records to confirm completeness and relevance to surrogacy and fertility requirements. Identify and note any concerns, unusual findings, or gaps in documentation. Prepare clear, well-structured medical summaries highlighting key details from OB, IVF, PN, LD, and related records. Ensure summaries are concise, accurate, and tailored to clinic and agency needs. Work closely with intake, collection, and operations teams to ensure timely turnaround and case progress. Flag issues requiring follow-up with providers, agencies, or internal staff. Handle all records in accordance with HIPAA and company standards for privacy and security. Maintain strict confidentiality while working with sensitive medical information. About You The company is looking for: Experience in medical records review, nursing, medical transcription, or related healthcare field preferred. Familiarity with OB/GYN, fertility, and surrogacy terminology is highly desirable. Strong attention to detail and ability to identify missing or concerning information. Excellent written communication skills for preparing professional summaries. Working knowledge of HIPAA and handling Protected Health Information (PHI). Comfortable working independently in a deadline-driven environment. Benefits Work from the comfort of your home with the US Eastern Time zone. Part-time contractor role offering flexibility while maintaining structured hours. Health maintenance organization (HMO) benefits included. Training & Development Opportunity to develop expertise in clinical data review within a professional and supportive environment. This job may close before the stated closing date. You are encouraged to apply as soon as possible. #J-18808-Ljbffr
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Peer Review Specialist
4 days ago
Cebu City, Central Visayas, Philippines RemoteRaven Full time ₱45,000 - ₱55,000 per yearHiring: Peer Review Specialist – Behavioral Health | $10–$11/hr | RemoteAre you a licensed RN, NP, MD/DO, or Licensed Therapist with experience in behavioral health and insurance reviews? Join us as a Peer Review Specialist, where you'll ensure clients continue receiving the care they need by securing payer authorizations, reviewing documentation, and...
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Clinical Bill Review Nurse
1 week ago
Mandaluyong City, National Capital Region, Philippines Genfinity Full time ₱900,000 - ₱1,200,000 per yearThe Clinical Bill Review Nurse is responsible for reviewing medical bills and associated documentation to ensure accuracy, medical necessity, and compliance with workers' compensation guidelines. This role supports payment integrity by identifying inappropriate charges, ensuring adherence to jurisdictional fee schedules, and applying clinical expertise to...
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Clinical Compliance Specialist
4 days ago
Cebu City, Central Visayas, Philippines KMC Solutions Full time ₱900,000 - ₱1,200,000 per yearJob Overview:Work on-site at our Cebu officeNight shiftPharmacy degree (Pharm. D.) or equivalent; and 2+ years related retail experience and/or training; or equivalent combination of education and experience.The main responsibilities of a CLINICAL COMPLIANCE SPECIALIST include:Essential Duties and Responsibilities include the following. Other duties may be...
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Clinical Applications Specialist
4 days ago
Quezon City, National Capital Region, Philippines Royal Arc Med Solution Corporation Full time ₱900,000 - ₱1,200,000 per yearCompany Name: Royal Arc Med Solution Corp.Job Title: Clinical Applications Specialist Position Summary:The Clinical Applications Specialist is responsible for supporting the successful adoption, training, and clinical integration of diagnostic imaging technologies. This role collaborates closely with sales teams, radiologists, technologists, and clinical...
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Clinical Application Specialist
4 days ago
Quezon City, National Capital Region, Philippines UroServe Enterprises Full time ₱800,000 - ₱1,200,000 per yearCompany DescriptionUroServe Enterprises is dedicated to bridging urological needs by delivering advanced medical technologies and comprehensive clinical support to healthcare providers. As a trusted distributor of innovative urology solutions, we partner with leading global manufacturers to ensure hospitals, clinics, and specialists have access to...
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Nurse - Clinical Review
1 week ago
Bacolod City, Western Visayas, Philippines WNS Global Services, Inc. Full time ₱65,000 - ₱75,000 per yearCompany DescriptionHealthHelp - A WNS Company ), is the leader in the field of healthcare utilization and care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that...
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clinic accounting staff
4 days ago
Paranaque City, Calabarzon, Philippines Magic Potions Merchandise Inc Full time ₱264,000 per yearAbout Moesthetics Clinic:Moesthetics Clinic is a luxury aesthetic clinic set to open in Parañaque. We aim to provide top-quality beauty and wellness services, emphasizing elegance, innovation, and exceptional client care. We cater to clients who expect the best in every part of their experience. As we get ready to open, we are assembling a skilled team,...
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Clinical Application Specialist
2 weeks ago
Makati City, National Capital Region, Philippines Wellesta Buergli Pharma Inc. Full time ₱900,000 - ₱1,200,000 per yearAs a Clinical Application Specialist, you will provide clinical expertise through pre-sales presentations, product demonstrations, application training and handing over of company products. You will assist the sales staff in assessing potential application of company products to meet customer needs and preparing detailed product clinical specifications for...
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Clinical Assistant
4 days ago
Iloilo City, Western Visayas, Philippines FILIMEX RESOURCE GROUP, INC. Full time ₱204,000 - ₱300,000 per yearFILIMEX RESOURCE GROUP, INC. is hiring a Full time Clinical Assistant role in Jaro, Western Visayas. Apply now to be part of our team.Job summary:Looking for candidates available to work:Monday: EveningTuesday: EveningWednesday: EveningThursday: EveningFriday: EveningSaturday: EveningSunday: EveningNo experience required for this roleExpected salary:...
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Utilization Review Coordinator
4 weeks ago
Pasig City, Philippines Visaya KPO Full timeRole Overview: We are looking for a detail-oriented Utilization Review Coordinator/Medical Management Resolution Specialist to join our team. The ideal candidate will have experience in medical coding within the US healthcare system, whether certified or non-certified, and a strong background in medical management resolution. Key Responsibilities Collect,...