Careers - Medical Review Specialist

10 hours ago

Taguig, National Capital Region, Philippines beBeeMedicalReview Full time ₱55,000 - ₱155,000
Medical Review Specialist

Our organization is seeking a highly skilled Medical Review Specialist to assess and interpret customer needs, requirements and medical records.

About the Role:

  • Review medical claims for medical necessity by assessing customer needs, requirements and medical records.
  • Ensure compliance with relevant laws, regulations and policies.

Key Requirements:

  • Active PHRN and USRN Mainland License are mandatory for this role.
  • A minimum of 1 year of bedside experience, preferably with UR/UM experience but not required.

Essential Skills:

  • Medical record analysis and claim review expertise.
  • Utilization management and effective communication skills.

Benefits:

This role offers opportunities for professional growth and development in a dynamic work environment.

Why This Role?

As a Medical Review Specialist, you will play a vital role in ensuring that our customers receive quality care and services.

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