Medical Claims Analyst

21 hours ago


Manila, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

We are seeking a Utilization Review professional to fulfill a key role within our organization.

Job Overview

The ideal candidate will possess an active PHRN and USRN Mainland License, with at least one year of bedside experience preferably in UR/UM. The selected individual will assess and interpret customer needs, requirements and medical records, reviewing medical claims for medical necessity.

Key Responsibilities:
  • Assess customer needs, requirements and medical records
  • Review medical claims for medical necessity

The right candidate will be able to work independently, have excellent communication skills and the ability to interpret complex medical information.

As a key member of our team, you will play a vital role in ensuring the delivery of high-quality services to our customers. If you possess the necessary skills and qualifications, we encourage you to apply for this exciting opportunity.



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