Utilization Review Coordinator

apartmentVisaya Knowledge Process Outsourcing Corporation placeQuezon City scheduleFull-time calendar_month9/6/25

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!

business_centerHigh salary

Utilization Review Coordinator

apartmentSales Rain BPO, Inc.placePasig, 10 km from Quezon City

UTILIZATION REVIEW COORDINATOR PRIMARY RESPONSIBILITIES: • Evaluate patient records to assess severity of illness and intensity of service. • Apply medical necessity screening criteria and clinical knowledge to ensure appropriateness...

local_fire_departmentUrgent

Information Technology Lecturer - Quezon City - ref. l99165919

apartmentQuezon City UniversityplaceQuezon City

Implement the training and academic programs that may be assigned by the University; • Evaluates the students' performance in class; • Strictly comply with existing administrative rules and regulations on office decorum, attendance, and other...

starFeatured

[ref. e33389904] Quezon City - Cashier

placeQuezon City

Ambulatory Healthcare Institute, Inc. is hiring a Full time Cashier role in Ortigas Center, NCR. Apply now to be part of our team. Job summary: • Flexible hours available • At least holder of a 4-year Business Course, or equivalent. • FRESH...

Best jobs you don't want to miss:

Document Review Jobs in Quezon City 6 Urgent

Service Coordinator Jobs in Quezon City

Project Coordinator Jobs in Quezon City 7 Urgent

Activity Coordinator Jobs in Quezon City

Data Coordinator Jobs in Quezon City