Healthcare Professional

11 hours ago


Quezon City, National Capital Region, Philippines beBeeClinical Full time ₱800,000 - ₱1,200,000
Job Summary

Clinical Appeal Specialist role available in a dynamic BPO setting.


Key Responsibilities
  • Assist with medical necessity reviews and interpretation of clinical documentation.
  • Collaborate with cross-functional teams to ensure accurate and timely appeal resolutions.

Requirements
  • Active PHRN license holder required.
  • Minimum 1 year of clinical experience in hospital, clinic, or managed care setting.
  • 6 months of clinical process outsourcing experience with strong clinical knowledge in medical necessity reviews, interpretation of clinical documentation, and healthcare insurance processes.
  • Ability to work onsite in Bridgetowne with flexibility for shifting schedules.

Work Environment
  • Seniority level: Associate
  • Employment type: Full-time
  • Job function: Health Care Provider
  • Industries: Healthcare and Staffing


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