
Utilization Review Coordinator
2 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
2 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...
-
Healthcare Utilization Specialist
4 days ago
Pasig, National Capital Region, Philippines beBeeUtilization Full time ₱900,000 - ₱1,200,000Job DescriptionWe are seeking a skilled Utilization Management/Review Nurse to join our team.This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization.The selected candidate will be responsible for conducting concurrent and retrospective...
-
Utilities Management Officer
2 days ago
Pasig, National Capital Region, Philippines Joy~Nostalg Group Full time ₱900,000 - ₱1,200,000 per yearJob summary: The Utilities Management Officer is responsible for overseeing the planning, execution, and completion of utility services across all developments of Raemulan Lands, Inc. and Rayvanes Realty Corporation. This includes managing the entire process of utility provision—from application to final energization—for electrical services, as well as...
-
Construction Utilities Management Head
2 days ago
Pasig, National Capital Region, Philippines Joy~Nostalg Group Full time $90,000 - $120,000 per yearJob Summary The Utilities Management Head is responsible for leading the strategic planning, coordination, and oversight of all utility-related activities across the developments of Raemulan Lands, Inc. and Rayvanes Realty Corporation. This includes managing the end-to-end process of utility service delivery—such as electricity and water—from planning...
-
Healthcare Utilization Specialist
4 days ago
Pasig, National Capital Region, Philippines beBeeUtilization Full time ₱900,000 - ₱1,200,000Utilization Management Nurse RoleThis position is crucial in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization.
-
utilization analyst
2 days ago
Pasig, National Capital Region, Philippines Value Care Health Systems, Inc Full time ₱800,000 - ₱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
2 days ago
Pasig, National Capital Region, Philippines Carelon Global Solutions Full time $104,000 - $130,878 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...
-
Digital Leader, Water Utilities
2 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...
-
ABA Scheduling Coordinator
6 days ago
Pasig, National Capital Region, Philippines KDCI Full timeJob 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 utilization of client authorizations. The...
-
Scheduling Coordinator Role
5 days ago
Pasig, National Capital Region, Philippines beBeeScheduling Full time ₱150,000 - ₱250,000Job OpportunityWe are seeking a highly skilled and organized individual to fill the role of Scheduling Coordinator.The ideal candidate will have experience in administrative coordination, preferably in healthcare or ABA-related environments. They will be responsible for ensuring the smooth and effective management of client and Behavior Technician/RBT...