Utilization Review Coordinator

4 days ago


Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time ₱900,000 - ₱1,200,000 per year

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



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