Utilization Reviewer - Doctor
eData Services Philippines Inc. Taguig Full-time
The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent with their needs as well as inputting of approved Guidelines and References.
The review typically involves medical records abstracting, analysis and documentation based on client-specific guidelines and templates.
Minimum Qualifications:
- Graduate or undergraduate of Medicine
- Knowledge in MS Office applications
- Above average English writing skills
- Willing to work onsite at Mckinley, Taguig
OpsArmyTaguig
Apply Here: www.operationsarmy.com/application
About the Role
We are seeking highly detail-oriented and exceptionally strong English communicators to join our team as Human Transcription Reviewers.
In this role, you will listen to recorded audio...
New CAS LLCCavite, 17 km from Taguig
alongside them. When something’s missing or unclear, you ask. When a treatment decision needs a second opinion, you raise it. By the time the return reaches the Tax Reviewer, every workpaper is in place and every number ties.
You’ll communicate directly...
MiraMed PhilippinesManila, 12 km from Taguig
Job Summary:
Claim Edit Reviewer (Clinical) is responsible for the accurate and timely resolution of claim edits to government, commercial, and contracted payers. The Claim Edit Reviewer (Clinical) works on the claim edits within a contracted...