utilization reviewer (dumaguete) - phrn Healthcare AccountLunas Solution
Workplace: NegrosOriental
Salary: ₱40,000 per month
Work form: Full time
Posting Date: 12/11/2024
Deadline: 12/12/2024
Job Title: Utilization Reviewer (Dumaguete) - PHRN
This role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.
The Utilization Reviewer evaluates the appropriateness and necessity of medical services provided to patients. Meticulously reviewing medical records ensures that care aligns with medical guidelines, insurance coverage, and patient needs. Collaborating closely with healthcare providers, you'll drive efficient resource utilization while maintaining high-quality patient care and cost-effectiveness.
Requirements:
Must be a PH registered nurse.
At least 1 year experience in a clinical setting.
At least 1 year experience in a BPO setting.
Knowledge of HIPAA and US medical insurance is an advantage.
This role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.
The Utilization Reviewer evaluates the appropriateness and necessity of medical services provided to patients. Meticulously reviewing medical records ensures that care aligns with medical guidelines, insurance coverage, and patient needs. Collaborating closely with healthcare providers, you'll drive efficient resource utilization while maintaining high-quality patient care and cost-effectiveness.
Requirements:
Must be a PH registered nurse.
At least 1 year experience in a clinical setting.
At least 1 year experience in a BPO setting.
Knowledge of HIPAA and US medical insurance is an advantage.
Submit profile
Lunas Solution
About the company
PHRN Clinical Denials Reviewer / Interqual Inpatient
Omega Healthcare Management Services Inc.
Cebu, CebuAgreement
PHRN Clinical Denials Reviewer or Interqual Inpatient Lahug, Cebu
Omega Healthcare Management Services Inc.
Cebu, CebuAgreement
PHRN Trainer (Prior Authorization) Lahug, Cebu
Omega Healthcare Management Services Inc.
Cebu, Cebu₱40,000 - 50,000 per month
Medical Billing Coordinator | US Healthcare Account
Tahche Outsourcing Services Inc.
Cebu, CebuAgreement
Customer Service Representative for Healthcare Account II Fixed Sat Sun OFF
Tech Mahindra
Cebu, CebuAgreement
Position utilization reviewer (dumaguete) - phrn Healthcare Account recruited by the company Lunas Solution at NegrosOriental, Joboko automatically collects the salary of ₱40,000 per month, finds more jobs on Utilization Reviewer (Dumaguete) - PHRN Healthcare Account or Lunas Solution company in the links above
About the company