Clinical Quality Reviewer
5 days ago
Job Description
Join a global leader in providing independent Medical Exams, Peer Reviews, and Medical Compliance Services as a Clinical Quality Reviewer – backed by decades of excellence and innovation in Healthcare Solutions.
The Opportunity
Support critical medical review operations by ensuring accurate, compliant documentation for a leading US healthcare services organization—while earning a PHP50,000 sign-on bonus
Why join us?
- Proudly Great Place to Work certified
- Celebrate globally: Company trips (2025: Hong Kong, 2024: Thailand), Culture Champs, Year-end parties, leadership awards & more
- Grow with stability: 100+ in our 10-Year Club by 2025
- Dynamic talent network: 2,000+ across APAC and beyond
- Competitive compensation with annual reviews
- Comprehensive medical care for you and your family
- Generous paid leave because work-life balance matters
- Level up with LinkedIn Learning and tailored training
- Flexible work setup
Staff Testimonial
"ASW is my second home and family. They have opened a lot of opportunities for me." - Underwriting Assistant, ASW Philippines
What You'll Do
- Review and verify medical reports for completeness and accuracy
- Maintain and update documentation across systems and databases
- Handle inquiries and communications with internal and external stakeholders
- Monitor compliance with healthcare regulations and internal standards
- Identify, flag, and escalate documentation or compliance issues
- Ensure timely submission of required reports and records
- Support audits and preparation activities
- Collaborate with teams to resolve QA concerns and improve processes
Key Criteria
- Registered Nurse or Allied Health Graduate
- Minimum of 1 year experience in medical accounts involving clerical, admin, or documentation review
- Proficient in Microsoft Word, Outlook, and Excel
- Strong English communication skills; comfortable with calls and high-volume emails
- Excellent attention to detail, time management, and task prioritization
Work setup:
- Manila (BGC, Taguig): US Eastern Standard hours of 7:30AM to 4:30PM (8:30PM – 5:30AM PHT) with a full onsite model.
#LI-DF1
-
BPO Clinical Review Specialist
3 minutes ago
Manila, National Capital Region, Philippines NTT DATA North America Full time"Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.Roles and Responsibilities:Prepares case reviews for Medical Directors by researching the appeal,...
-
Clinical Quality Reviewer
8 minutes ago
Manila, National Capital Region, Philippines AS White Global Full timeJoin a global leader in providing independent Medical Exams, Peer Reviews, and Medical Compliance Services as a Medical QA Analyst – backed by decades of excellence and innovation in Healthcare Solutions.The OpportunitySupport critical medical review operations by ensuring accurate, compliant documentation for a leading US healthcare services...
-
Clinical Implementation
11 minutes ago
Manila, National Capital Region, Philippines Virtual Rockstar Careers Full timeThis is a remote position.Virtual Rockstar is hiring a full-time Clinical Implementation & QA Virtual Assistant on behalf of our client, a healthcare technology company that develops a specialized EHR platform used by clinical teams. This role is ideal for someone with a strong clinical background who understands medical terminology, clinical workflows, and...
-
Clinical Implementation
8 minutes ago
Manila, National Capital Region, Philippines Virtual Rockstar Full timeThis is a remote position.Virtual Rockstar is hiring a full-time Clinical Implementation & QA Virtual Assistant on behalf of our client, a healthcare technology company that develops a specialized EHR platform used by clinical teams. This role is ideal for someone with a strong clinical background who understands medical terminology, clinical workflows, and...
-
Contract Clinical Psychologist
4 minutes ago
Manila, National Capital Region, Philippines Insight Timer Full timeAbout the RoleWe're working on mapping the evidence base across the world's largest wellbeing library. With over 300,000 guided meditations and tracks from more than 20,000 teachers, we're creating connections between content and the clinical research that supports it.We need clinical psychologists to verify this work. You'll review AI-extracted evidence...
-
Clinical Appeals Writer
7 minutes ago
Manila, National Capital Region, Philippines TapTalent Full timeWe're Hiring: Clinical Appeals Writer Viventis Search Asia is working with a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. They are currently looking for talented Clinical Appeals Writer professionals to join their team in January 2025.Location: PhilippinesShift: WFH;...
-
Head of Clinic Management Services
9 minutes ago
Manila, National Capital Region, Philippines FitWhite The House of Glutathione & Aesthetics Corp. Full timeThe Head of Clinic Management Services is responsible for overseeing the overall operational performance, administrative efficiency, and service quality of all clinics under the organization. This role ensures that clinic operations are aligned with company policies, healthcare regulations, and strategic business objectives. The Head of Clinic Management...
-
Photo Quality Reviewer
2 minutes ago
Manila, National Capital Region, Philippines Snappr Full timeAt Snappr, we make it effortless for businesses to access high-quality visual content at scale. As the world's leading marketplace for photography, video, and editing, we connect top creators with brands that need to tell their stories through powerful visuals. By combining cutting-edge technology with a discerning eye for creativity, we help businesses grow...
-
Live Scan Review Specialist
9 minutes ago
Manila, National Capital Region, Philippines Eclaro Business Solutions, Inc Full timeRole Title: Live Scan Review Specialist ECLARO: A quick Summary ECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges...
-
Medical Quality Reviewer
5 minutes ago
Manila, National Capital Region, Philippines AS White Global Full timeJoin a global leader in providing independent Medical Exams, Peer Reviews, and Medical Compliance Services as a Medical Quality Reviewer – backed by decades of excellence and innovation in Healthcare Solutions.The OpportunitySupport critical medical review operations by ensuring accurate, compliant documentation for a leading US healthcare services...