Clinical Support Specialist

3 weeks ago


Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full time

Job Overview

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The Manpower Core Group Inc. is seeking a highly skilled Clinical Support Specialist to join their team. This role involves providing exceptional support to the clinical and client teams, ensuring accurate and timely payment of covered claims.

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About the Role

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  • Review contractual language and medical documentation to determine customer eligibility">
  • Assess medical appropriateness of claims submitted and adjust as needed">
  • Prioritize both new and open claims equally and maintain decision turnaround times">
  • Communicate effectively with stakeholders to resolve queries and concerns">
  • Work collaboratively with the clinical team to provide seamless support">
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Requirements

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To be successful in this role, you will need:

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  • An active license">
  • A minimum of 6 months' experience in a hospital setting">
  • 1 year of prior authorization experience (negotiable)">
  • Excellent communication and interpersonal skills">
  • Good typing skills and proficiency in handling multiple tasks simultaneously">
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What We Offer

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We offer a competitive salary package, including an estimated PHP 45,000 - 55,000 per month, depending on experience. Additionally, you will have the opportunity to work with a world-class medical coding staff and enjoy a Monday-to-Friday working schedule.

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This is a fantastic opportunity for individuals who are passionate about delivering exceptional patient care and are looking for a challenging and rewarding career.



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