Medical File Review Specialist

1 day ago

Iloilo City, Western Visayas, Philippines beBeeReviewer Full time ₱2,500,000 - ₱3,000,000

Medical Review Specialist

We are seeking a highly skilled and organized Medical Review Specialist to join our team. As a Medical Review Specialist, you will play a vital role in preparing case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.

Key Responsibilities:

  • Prepares case files and DBQs 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.

Required Skills and Qualifications:

  • BSN, active PHRN license.
  • Good communication skills to assist veterans, medical providers, and colleagues.
  • Ability to work independently with minimal supervision.
  • Flexibility in work schedule changes as needed.
  • Accountability for all assigned cases.
  • Proficiency with MS applications such as Word, Excel, and PowerPoint.
  • Assists Lead and/or Trainer in process improvement.
  • Assists in creation of process-related templates if needed.

Benefits:

  • Competitive compensation package.
  • Opportunities for professional growth and development.
  • Collaborative and dynamic work environment.

Others:

  • Computer specs requirement includes fiber connection with at least 20mbps download and upload speed.
  • 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.

Seniority Level: Mid-Senior level

Employment Type: Full-time

Job Function: Other

Industry: Medical Practices

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