
Utilization Review Coordinator
4 days ago
WE ARE HIRING
Role: Utilization Review Coordinator
Ortigas | Night Shift | Full-time
Visaya KPO is looking for a detail-oriented Utilization Review Coordinator/Medical Management Resolution Specialist to join our growing healthcare team
What you'll do:
Review and resolve disputed medical claims
Verify and input case details for nurse review
Collaborate with providers, coders, and payers
Ensure compliance with healthcare standards & policies
Qualifications:
College level education
2+ years experience in medical management resolution or utilization admin work
US Medical Coding experience (certified or non-certified) preferred
Strong knowledge of coding systems & healthcare terminology
Amenable to Ortigas onsite, night shift
Perks & Benefits:
15% Night Differential
HMO after 30 days (with dependents)
24 leave credits/year (convertible to cash)
Retirement benefits & paid training
Career growth & promotion opportunities
Be part of a multi-awarded, proudly Filipino-owned company
-
Utilization Review Nurse
4 days ago
Pasig, National Capital Region, Philippines VISAYA Full time $40,000 - $60,000 per yearAbout Visaya KPO:Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture ofmalasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach.Role Overview:We are seeking a skilled Utilization...
-
utilization analyst
4 days ago
Pasig, National Capital Region, Philippines Value Care Health Systems, Inc Full time ₱900,000 - ₱1,200,000 per yearBe part of our growing TEAMWe are looking for goal-oriented individuals to fill in the Utilization Analyst role.The Data Analyst for Utilization Reporting is responsible for collecting, analyzing, and interpreting healthcare utilization data to support decision-making, improve care delivery, and optimize the use of health services in alignment with the HMO's...
-
Mgr Asst Utilization Management
4 days ago
Pasig, National Capital Region, Philippines Carelon Global Solutions Full time ₱1,500,000 - ₱2,500,000 per yearResponsible for providing technical direction, guidance and resources to UM staff on a day-to-day basis.Primary duties may include but are not limited to:Manages creation, launching and coordination and development of UM quality initiativesProvides inputs to policies and processes impacting the operationsCoordinates with workforce for staffing requirements...
-
Clinical Review Nurse
2 days ago
Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per yearAbout ConnextConnext is a team of business process outsourcing experts serving world-class clients in industries like Healthcare, Title and Escrow, Retail and Fashion, Produce Distribution, Design Consulting, and Finance.We are currently hiring a Clinical Review Nurse to work with one of our healthcare clients based in the U.S. What's in it for...
-
Digital Leader, Water Utilities
4 days ago
Pasig, National Capital Region, Philippines Aurecon Full time $90,000 - $120,000 per yearJust imagine your future with us…At Aurecon, we see the future through a very different lens. Do you?Innovation, eminence and digital are at the heart of everything we do. Are you excited about the future?Are you driven by the opportunity to work on some of the most challenging and complex projects around the world and to learn from the best? We...
-
Recruitment Coordinator
2 days ago
Pasig, National Capital Region, Philippines Elite Worldgroup Inc. Full time ₱900,000 - ₱1,200,000 per yearJob Overview:We are seeking a proactive Recruitment Coordinator to join our growing team. This role is ideal for someone with strong expertise in both talent acquisition and project execution, particularly with a focus on events management.Key Responsibilities:Recruitment:· Utilize job boards and online platforms to source and attract qualified...
-
Project Coordinator
4 days ago
Pasig, National Capital Region, Philippines Circuit Solutions Incorporated Full time ₱300,000 - ₱600,000 per yearThe Project Coordinator is responsible for delivering projects within budget and agreed timeline. He/She ensures customer satisfaction by finishing the project within standards, within budget, and on time. He/she handles all documentations necessary for proper and timely billing.Duties also includes but not limited to:Manages the team assigned in the...
-
Pasig, National Capital Region, Philippines KDCI Outsourcing Full time ₱900,000 - ₱1,200,000 per yearJob SummaryKDCI Outsourcing is seeking a detail-oriented and highly organized Clinical Operations Administrative Coordinator to ensure the smooth and effective management of client and Behavior Technician/RBT schedules. This role involves coordinating directly with ABA Program Supervisors, optimizing provider hours, and ensuring full utilization of...
-
ABA Scheduling Coordinator, Remote
4 days ago
Pasig, National Capital Region, Philippines KDCI Outsourcing Full time ₱900,000 - ₱1,200,000 per yearPosted on:September 2, 2025Pasig CityJob SummaryKDCI Outsourcing is seeking a detail-oriented and highly organized ABA Scheduling Coordinator to ensure the smooth and effective management of client and Behavior Technician/RBT schedules. This role involves coordinating directly with ABA Program Supervisors, optimizing provider hours, and ensuring full...
-
Program Coordinator
4 days ago
Pasig, National Capital Region, Philippines Satellite Office Full time ₱300,000 - ₱600,000 per yearOverview:The Program Coordinator is backbones support to the Program Manager in assuring BDA programs run smoothly. Working with cross functional teams, the PC monitors inventory, pulls reports, identifies trends and adjusts the data so clients are able to see actionable intel. Job Skills & Traits• Ability to prioritize and manage multiple...