Medical File Review Specialist

2 days ago

Angeles City, Central Luzon, Philippines beBeeMedical Full time ₱800,000 - ₱1,200,000
Medical Reviewer

Job Title: Medical File Reviewer/PHRN

Job Description
  • We are seeking a skilled Medical Reviewer to join our team. The successful candidate will be responsible for preparing case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.
  • As a Medical Reviewer, you will review and bookmark medical records and create a synopsis to answer medical opinion questions based on the veteran's medical history.
  • You will remotely assist the medical provider during a scheduled appointment of a veteran by accessing, navigating, and preparing different apps in the medical provider's computer in the exam room prior to the scheduled appointment.
  • You will also remotely interview the veteran via the approved video or telephone conference platform and transcribe the medical history based on the veteran's answers to the questions in the DBQ.
  • In addition, you will remotely assist the medical provider by documenting all the physical examination findings in the appropriate section of the DBQs and complete all sections of the DBQ spreadsheets after each appointment.
  • You will meet with medical providers to discuss each assigned case to determine the final diagnosis per DBQ and for approval of medical opinions.
  • You will also transfer data from the DBQ spreadsheet to the client portal and submit DBQs in the client portal.
  • Finally, you will answer queries/addendum reports from the client's QAs and coordinate with medical providers and other team members regarding the scheduled appointments per day.
Required Skills and Qualifications
  • A Bachelor of Science in Nursing (BSN) degree and an active PHRN license are required.
  • You must have good communication skills to assist veterans, medical providers, and colleagues effectively.
  • You should be able to work independently with minimal supervision.
  • You must be flexible in your work schedule changes as needed.
  • You are accountable for all assigned cases.
  • You should be proficient with MS Office applications (Word, Excel, PowerPoint).
  • You will assist the Lead and/or Trainer in process improvement.
  • You may also assist in creating process-related templates if needed.
  • You will perform other job-related duties as assigned by supervisor or manager.
Computer Specs Requirements
  • Fiber connection with at least 20 Mbps download and upload speeds is required.
  • A backup internet connection with minimum 15 Mbps download and upload speeds is also required.
  • Your main desktop/laptop must have an Intel i5–i7 processor, 8 GB RAM; 4th generation or newer.
  • Your backup desktop/laptop must have an Intel i3–i5 processor, 8 GB RAM; 4th generation or newer.

  • Medical File Review Specialist

    2 days ago

    Tarlac City, Central Luzon, Philippines beBeeMedicalReviewer Full time ₱2,500,000 - ₱3,500,000

    Medical File Reviewer JobWe are seeking a detail-oriented and organized Medical File Reviewer to perform medical record review and analysis tasks.Key Responsibilities:Prepare case files and Disability Benefits Questionnaires (DBQs) assigned through the client portal.Review and summarize medical records, identifying key findings and creating detailed...

  • Medical File Reviewer/PHRN Specialist

    2 days ago

    Mandaue City, Central Visayas, Philippines beBeeMedical Full time $60,000 - $80,000

    Job Title: Medical File Reviewer/PHRNWe are seeking a skilled and detail-oriented Medical File Reviewer to join our team. As a Medical File Reviewer, you will play a critical role in preparing case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.Key Responsibilities:Preparation of Case Files: Prepare case files and DBQs...

  • Medical Case Review Specialist

    2 days ago

    Angeles City, Central Luzon, Philippines beBeeCase Full time ₱543,981 - ₱723,974

    Medical Case Review SpecialistWe are seeking a highly skilled Medical Case Review Specialist to join our dynamic team. The ideal candidate will have a strong understanding of pharmacovigilance principles, adverse event reporting, and causality assessment.The successful candidate will be responsible for entering vigilance cases into relevant databases...

  • Filing Specialist

    22 hours ago

    Angeles City, Central Luzon, Philippines beBeeTax Full time ₱7,200 - ₱7,800

    Seeking a skilled Tax Filing Specialist to join our organization. The ideal candidate will have experience with tax preparation software and proficiency in Microsoft Excel.ResponsibilitiesPrepare and file personal, corporate, sales tax, and payroll tax returns.Organize and analyze financial documents for accurate reporting.Communicate with clients to gather...

  • Senior Medical File Analyst

    2 days ago

    Tarlac City, Central Luzon, Philippines beBeeProfessional Full time ₱2,500,000 - ₱3,500,000

    Medical Reviewer JobJoin our team of skilled medical reviewers who work remotely to assist in the evaluation of medical records. As a medical reviewer, you will be responsible for reviewing and analyzing medical data, identifying relevant information, and making informed decisions.Key Responsibilities:Prepare case files and Disability Benefits Questionnaires...

  • Medical Transcription Specialist

    2 days ago

    Angeles City, Central Luzon, Philippines beBeeTranscription Full time ₱500,000 - ₱750,000

    Job Title: Medical Transcription SpecialistWe are seeking a detail-oriented and tech-savvy individual to assist our medical professionals during patient consultations. The successful candidate will have exceptional typing skills, strong organizational abilities, and excellent communication skills.Key Responsibilities:Attend virtual or in-person patient...

  • Medical Necessity Review Specialist

    2 days ago

    Tarlac City, Central Luzon, Philippines beBeeHealthcare Full time ₱55,000 - ₱155,000

    Healthcare Specialist - Medical Necessity ReviewWe are seeking a skilled healthcare specialist to review medical claims for medical necessity. The ideal candidate will have experience in assessing and interpreting customer needs, requirements, and medical records.About the Role:This is an excellent opportunity to join our team as a key member responsible for...

  • Medical Billing Specialist

    2 days ago

    Angeles City, Central Luzon, Philippines beBeeMedicine Full time $40,000 - $60,000

    Medical Billing SpecialistWe are seeking a skilled Medical Billing Specialist to join our team. In this role, you will assist in the timely and accurate processing of medical claims, ensuring that carriers receive all necessary information.Key Responsibilities:Review medical necessity appeals to ensure accuracy and completenessFax appeals to the appropriate...

  • Clinical Peer Review Coordinator

    2 days ago

    Angeles City, Central Luzon, Philippines beBeeBehavioral Full time $10 - $11

    Job Title:Peer Review SpecialistAbout the Role:This role supports Residential, PHP, and IOP levels of care by conducting peer reviews, case consultations, and interfacing with insurance payers. The ideal candidate is a licensed clinical or medical professional familiar with behavioral health documentation and insurance requirements.Main...

  • Medical Support Specialist

    2 days ago

    Angeles City, Central Luzon, Philippines beBeeSupport Full time ₱18,000 - ₱25,000

    Job OverviewA medical support specialist plays a crucial role in the healthcare industry, providing administrative support to medical professionals and patients alike.The RoleSupport medical staff with tasks, such as scheduling appointments, managing patient records, and processing insurance claims.Deliver exceptional customer service by responding to...