Medical File Review Specialist

2 days ago

Caloocan City, National Capital Region, Philippines beBeeMedicalReviewer Full time ₱3,600,000 - ₱4,800,000

Job Overview:

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This role involves reviewing medical files and preparing Disability Benefits Questionnaires (DBQs) assigned in the client portal. The ideal candidate will have a BSN degree and an active PHRN license, with excellent communication skills and the ability to work independently.

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Key Responsibilities:

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  • Prepares case files and DBQs assigned in the client portal.
  • Reviews and bookmarks medical records and creates a synopsis to answer medical opinion questions based on the veteran's medical history.
  • Remotely assists the medical provider during scheduled appointments by accessing, navigating, and preparing different apps in the exam room prior to the appointment.
  • Remotely interviews the veteran via approved video or telephone conference platforms.
  • Transcribes the medical history based on the veteran's answers to the questions in the DBQ.
  • Documents physical examination findings in the appropriate section of the DBQs.
  • Completes all sections of the DBQ spreadsheets after each appointment.
  • Meets with medical providers to discuss assigned cases to determine the final diagnosis per DBQ and for approval of medical opinions.
  • Transfers data from the DBQ spreadsheet to the client portal.
  • Submits DBQs in the client portal.
  • Answers queries and addendum reports from clients' QAs.
  • Coordinates with medical providers and team members regarding scheduled appointments.
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Requirements:

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  • BSN degree and active PHRN license.
  • Excellent communication skills.
  • Able to work independently with minimal supervision.
  • Flexible work schedule.
  • Takes accountability for assigned cases.
  • Proficient in MS applications like Word, Excel, and PowerPoint.
  • Assists the lead/trainer in process improvement.
  • Performs other job-related duties as assigned.
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Computer Requirements:

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  • Fiber connection with at least 20mbps download and upload speed.
  • Available backup internet with minimum 15mbps download and upload speed.
  • Main desktop/laptop must be i5 to i7 with 8GB RAM; 4th generation and above.
  • Backup desktop/laptop must be i3 to i5 with 8GB RAM; 4th generation and above.
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Seniority Level:

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  • Mid-Senior level.
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Employment Type:

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  • Full-time.
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Job Function:

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  • Other.
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Industry:

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  • Medical Practices.
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