Medical Claims Examiner

1 week ago


Barcelona, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000
Utilization Review Specialist

We are seeking a skilled professional to fill the role of Utilization Review Specialist.

Key Responsibilities:

  • Assess and interpret customer needs, requirements, and medical records.
  • Review medical claims for medical necessity.
  • Collaborate with cross-functional teams to ensure efficient claim processing.
  • Stay up-to-date with industry developments and regulatory changes.

Requirements:

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

Benefits:

The ideal candidate will be part of a dynamic team and have opportunities for growth and development.



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