Medical reviewer jobs in San Mateo, Rizal

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 ...Job Description: Responsible for reviewing and analyzing documents pertaining to an individual, and composing accurate and complete reviews...  .... Â Minimum Qualifications: Graduate of any Medical allied course - ATTN: Medical Fresh Grads! Knowledge in MS Office... 

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid... 

 ...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... 

 ...A. Every HDC shall have a Medical Director who is duly licensed by the Professional Regulation Commission (PRC) and preferably is a nephrologist certified by the Specialty Board of the Philippine Society of Nephrology (PSN). The Philippine Society of Nephrology shall... 

 ...Psychology. Fresh Grad / Entry Level specializing in Healthcare - Nurse/Medical Support and Assistant or equivalent. Required skill(s): computer, writing. Responsibilities The Records Reviewer is responsible for reviewing and analyzing documents pertaining to an... 

 ...PRC website • 1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary...  ..., case management practice, URAC standards, ODG, Utilization review, pharmaceuticals to treat pain, pain management process, drug rehabilitation... 

 ...Med Supply US is one of the nation's leading home medical supply companies with years of experience serving patients with complex medical...  ...just the company for you. Job Summary: The DME Medical Review Specialist plays a critical role in the healthcare industry by... 

 ...clarifications to either the 485/POC, or the OASIS. OASIS REVIEWER Responsibilities # Oasis Review and suggested corrections #...  ...Abstracting information from the Medicare OASIS D form and other medical records. # Reviewing the 485 Plan of Care for compliance. #... 

 ...As a Healthcare Record Reviewer, you will play a crucial role in examining and analyzing medical records from a remote setting to ensure their accuracy, completeness, and compliance with relevant standards and regulations. This position is vital for maintaining the integrity... 

 ...About the Role As Portfolio Reviewer, you will review the wholesale credit portfolio of the Bank to determine credit quality and credit process quality and to support the Bank's credit risk-taking activities on the wholesale side by providing the business and credit... 

Responsibilities: • Process and submit medical claims to insurance companies and government health programs • Verify patient insurance coverage and eligibility • Review and analyze medical documentation to ensure accuracy and compliance with billing regulations •... 

 ...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... 

 ...requires the ability to perform accurate and complete data entry of Protected Health information (PHI), diagnosis codes, certain medical record reviews, and other related duties. Responsibilities: MEDICAL RECORDS REVIEW - Responsible for abstracting medical data into... 

 ...Initial review of contracts to check & assess that terms & conditions maximize profits, limit financial risks & tax compliant  Monitor proper contract execution (signed by both parties & notarized) to ensure any obligation arising from said contracts are accounted for... 

 ...world. Job Description: Job Description: Associate, NB Review 3A The position is responsible for auto appraisal of...  ...extra premium within approval authority limit. Evaluates Non medical history declaration of proposed insured and owner which are not... 

 ...client, a dynamic force in online retail with multiple prestigious Amazon brands under its belt, is seeking a strategic-minded Amazon Review Collection Manager. About The Role At the forefront of this role, your responsibilities will be: Strategize and implement... 

 ...island inpatient admissions and assists in compiling information and data for concurrent, prospective and retrospective reviews, including review of medical records if necessary and issuing Letter of Authorization (LOA). Researches and facilitates alternative care for... 

 ...processing, researching inquires and reconciling transactions Review time sensitive documents Receive direction from supervisor...  ...recruitment process. Applicants with Disabilities To request a medical accommodation during the application or interview process,... 

 ...need to hear more before you feel you can apply. Please do not hesitate to reach out to the responsible recruiter. Quality Review (QR)Analyst [24+ months conducting TM investigations] You will perform 1LoD Quality reviews of completed complex Transaction Monitoring...