Healthcare Consultant

2 days ago

Ayala Alabang, National Capital Region, Philippines beBeeClinicalReviewer Full time $20,000 - $22,000
Job Summary

Our organization is seeking a detail-oriented Clinical Reviewer to support our levels of care. This individual will be responsible for conducting clinical reviews, case consultations, and interfacing with insurance payers.

Key Responsibilities
  • Conduct clinical reviews and consult with healthcare professionals to secure continued stay authorizations.
  • Review comprehensive client charts prior to clinical reviews, including progress notes, psychiatric evaluations, history and physical exams, nursing assessments, medical vitals, height, weight, and lab reports.
  • Collaborate with healthcare teams to gather updated information that supports the client's medical necessity for continued care.
  • Maintain a working knowledge of insurance medical necessity criteria.
  • Accurately document all authorization and review interactions in electronic health records or designated systems.
  • Participate in interdisciplinary team meetings and provide feedback regarding documentation practices that support utilization review.
  • Proactively track authorization timelines and expirations to avoid service interruptions.
  • Ensure adherence to HIPAA and ethical standards during reviews and documentation.
Required Qualifications
  • Minimum: Licensed Registered Nurse (RN)
  • Preferred: Nurse Practitioner (NP), Medical Doctor (MD/DO), Licensed Therapist (LCSW, LPC, LMFT, PsyD, PhD)
  • Minimum of 2 years' experience in behavioral health, substance use, or psychiatric care.
  • Familiarity with insurance platforms and payer-specific guidelines.
  • Excellent communication skills with the ability to represent clinical information clearly.
  • Strong attention to detail and ability to work independently.

  • Administrative Healthcare Specialist

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeeHealthcare Full time ₱400,000 - ₱600,000

    Medical Virtual Assistant / Intake Coordinator RoleJob Type: Full-time / Part-timeJob Overview: The Medical Virtual Assistant / Intake Coordinator plays a crucial role in patient intake, administrative support, and healthcare coordination.Responsibilities:Patient Intake Management: Collect and verify patient demographic informationScheduling Coordination:...

  • Healthcare Operations Specialist

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeeResponsibilities Full time $50,000 - $70,000

    Job Title: Healthcare Operations SpecialistAre you looking for a challenging role where you can make a difference in the healthcare industry? As a Healthcare Operations Specialist, you will be responsible for performing and supporting automated data entry into various electronic medical record systems.Key Responsibilities:Automating data entry tasks to...

  • On-Site Healthcare Specialist

    1 week ago

    Ayala Alabang, National Capital Region, Philippines beBeeOccupational Full time ₱800,000 - ₱1,200,000

    Job SummaryProvide on-site healthcare expertise for both occupational and non-occupational cases.RequirementsMust be a Registered Nurse with a valid license.6 months to 1 year experience in occupational health, hospital or equivalent.Competent clinical skills and training certificates (BOSH, Basic Life Support, First Aid) preferred.Job DescriptionDirect care...

  • Senior Healthcare Talent Acquisition Specialist

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeeHealthcare Full time $38,000 - $50,000

    Remote Healthcare Recruiter OpportunityWe are seeking a skilled professional to support our healthcare client. This opportunity offers the chance to work with a leading recruiting firm while maintaining a healthy work-life balance.Job OverviewThis remote role involves partnering with US-based hiring managers and healthcare leadership to understand staffing...

  • Healthcare Documentation Specialist

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeeScribing Full time ₱45,000 - ₱65,000

    Medical Scribing OpportunityWe are seeking a skilled Medical Scribe to provide high-quality transcribed diagnostic test results, procedures and consultation notes in applicable report formats.Key Responsibilities:Transcribe medical data into standardized reports.Expand full forms of medical abbreviations and acronyms.Collaborate with colleagues to enhance...

  • Healthcare Service Coordinator

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeePatientSupport Full time ₱290,000 - ₱460,000

    Job Description:We are seeking a skilled Patient Support Specialist to join our team. The successful candidate will be responsible for providing exceptional customer service and support to patients in a healthcare environment.The Patient Support Specialist will be the primary point of contact for patients, responding promptly and professionally to enquiries...

  • Talent Acquisition Representative

    20 hours ago

    Ayala Alabang, National Capital Region, Philippines beBeeBusiness Full time $90,000 - $120,000

    Business Development Role We are seeking a talented Business Development Representative to drive growth through new business opportunities. This role is critical in engaging with healthcare decision-makers and supporting our rapidly growing sales pipeline. About the Job As a Business Development Representative, you will be responsible for generating new...

  • CSR For Healthcare Account

    1 week ago

    Ayala Alabang, National Capital Region, Philippines Jocson College Inc. Full time

    CSR for Healthcare Account - Alabang Site Start ASAPCandidate must possess at least a Bachelor's/College Degree, High School Diploma, Some College (But did not graduate) on any course.Fresh Grad / Entry Level specializing in Customer Service or equivalent.Required language(s): English.ResponsibilitiesHandles inbound calls on the first call, through the use...

  • Medical Product Representative

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeeHealthcare Full time $30,000 - $55,000

    Job Title: Medical Sales SpecialistThis role involves direct engagement with pediatric practices, pharmacists, and healthcare providers to educate them on the benefits, science, and applications of our prebiotic/microbiome product line.Key Responsibilities:Engage in consultative conversations to address provider questions with scientific accuracy and...

  • High-Quality Patient Care Professional

    2 days ago

    Ayala Alabang, National Capital Region, Philippines beBeeCare Full time $50,000 - $68,000

    Job DescriptionIn this key position, you will play a pivotal role in delivering high-quality patient care.With a strong foundation in clinical or hospital experience and an active USRN license, your primary responsibility will be to conduct thorough medical management reviews, consult with clinical reviewers, and ensure patients have access to necessary...