Healthcare Professional Case Reviewer

1 day ago

Marikina City, National Capital Region, Philippines beBeeMedicalReviewer Full time ₱3,500,000 - ₱4,500,000

Job Overview:

We are seeking a highly skilled and detail-oriented Medical Reviewer to join our team. In this role, you will be responsible for reviewing medical records and creating case files for clients.

Key Responsibilities:

  • Prepares case files and Disability Benefits Questionnaires (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 interviews the veteran via the approved video or telephone conference platform.
  • Transcribes 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.

Requirements:

  • Bachelor's degree in Nursing (BSN), active PHRN license.
  • Excellent communication skills in order to assist the veterans, medical providers, and colleagues well.
  • Ability to work independently, with minimal supervision.
  • Flexibility in work schedule changes, as needed.
  • Takes accountability for all assigned cases.
  • 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.
  • Performs other job-related duties as assigned by your supervisor or manager.

Benefits:

This is a full-time position that offers a competitive salary and benefits package. The ideal candidate will have excellent communication skills, attention to detail, and the ability to work independently.

Working Conditions:

The successful candidate will be required to work from home and must have a reliable internet connection with a minimum speed of 20mbps download and upload. A main desktop/laptop with an i5 to i7 processor and 8GB RAM, as well as a backup desktop/laptop with an i3 to i5 processor and 8GB RAM, are also required.

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