Medical Claims Specialist

1 day ago


Pasig, National Capital Region, Philippines beBeeMedical Full time ₱55,000 - ₱155,000

About the Role

We are seeking a highly skilled professional to assess and interpret customer needs, requirements, and medical records in our Utilization Management team.

Key Responsibilities:

  • Review medical claims for medical necessity
  • Analyze customer needs and determine the best course of action
  • Collaborate with cross-functional teams for seamless execution of UM processes
  • Maintain up-to-date knowledge of relevant laws, regulations, and industry standards

Required Skills:

  • Active PHRN and USRN Mainland License
  • 1 year Bedside experience, preferably with UR/UM experience

About Us:

As a leading provider of innovative solutions in the healthcare industry, we deliver exceptional results and build long-lasting relationships with clients through dedication and expertise.



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