Medical Bill Review and Analysis Expert

4 days ago


Iloilo City, Western Visayas, Philippines Crawford & Company Full time
Key Responsibilities
  • Analyze and review medical records to assess client needs and develop effective treatment plans.
  • Evaluate client medical status and define their problems and needs.
  • Provide opinions regarding case costs, treatment plan, outcome, and problem areas, and make recommendations to facilitate rehabilitation goals and return to work.
  • Utilize experience and medical resources to interpret medical records and test results, and provide appropriate assessments accordingly.
  • Review cases with immediate superior monthly to evaluate files and obtain directions.
  • Demonstrate knowledge and understanding of Broadspire medical department policies and procedures and ability to communicate same with internal/external customers as necessary.
Qualifications
  • Bachelor's degree in Nursing.
  • Active and good standing Philippine RN license; Active and good standing US RN license from any mainland state.
  • Minimum two years diverse clinical experience or prior experience in Medical Bill Review.
  • Excellent verbal communication skills and customer orientation.
  • Proficient in word processing software applications.


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