Utilization Review Specialist

3 days ago


Pulong Santa Cruz, Calabarzon, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

Job Title: Utilization Review Specialist

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About the Role: We are seeking a skilled Utilization Review Specialist to join our team. In this role, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.

Responsibilities:

  • Review medical claims for medical necessity
  • Assess and interpret customer needs, requirements, and medical records

Requirements:

  • Active PHRN and USRN Mainland License
  • 1 year Bedside experience, preferably with UR/UM experience but not required

Benefits:

  • Up to P55,000 Package + P100,000 Bonus
  • Work from home

What We Offer:

  • A dynamic work environment
  • The opportunity to work with a talented team


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