Medical Claim Review Specialist

18 hours ago


Cabuyao, Calabarzon, Philippines beBeeMedicalClaimReview Full time ₱55,000 - ₱150,000

Job Summary:

We are seeking a skilled Medical Claim Review Specialist to join our team. As a key member of our operations, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.

Main Responsibilities:

  • Review medical claims for medical necessity
  • Assess and interpret customer needs, requirements, and medical records
  • Collaborate with cross-functional teams to ensure seamless delivery of services

Requirements:

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

Benefits:

  • Competitive salary package
  • Opportunities for professional growth and development

About the Role:

  • This is an exciting opportunity to work in a dynamic environment where you will have the chance to make a real difference in people's lives.


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