Role Jobs in Binangonan

MetHealth - Quezon City, Rizal

- Perform peer-to-peer reviews when criteria are not met. - Interpret provider documentation for utilization decision-making. - Submit cases requiring higher review to Medical Directors. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Track and store all secondary review outcomes. - Update patient files with new diagnosis or service authorizations. - Monitor open case files for follow-up deadlines. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Validate compliance with pre-authorization timeframes. - Ensure processes comply with CMS and payer-specific rules. - Assist in training programs to enhance quality. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Act as a subject matter expert for complex case handling. - Provide feedback and coaching to peers. - Participate in team meetings and knowledge-sharing sessions. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Ensure case files are prepared for peer review. - Assist providers in documenting care accurately. - Translate verbal updates into formal written notes. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Ensure timely escalation of high-risk cases. - Review departmental adherence to policy changes. - Maintain compliance records for all staff reviews. 34000

from: jobslin.com - 12 days ago

MetHealth - Quezon City, Rizal

- Screen patients using clinical criteria to determine suitability for facility admission. 34000

from: jobslin.com - 12 days ago

Caldwell Communications - Manila, National Capital Region

Answers phone calls and provides important information/assistance to clients Opportunity for rapid career growth for Top Performers HMO with 3 free Beneficiaries on Day One Excellent to above-average English... 30000

from: jobslin.com - 11 days ago

MetHealth - Pasay, National Capital Region

• Accurately verifies insurance coverage • Explains coverage and eligibility clearly • Tracks insurance inquiries efficiently • Uses online tools for verification • Communicates with billing partners 24000

from: jobslin.com - 14 days ago

MetHealth - Pasay, National Capital Region

• Leads by example • Takes ownership of responsibilities • Acts without waiting to be told • Offers to help before asked • Seeks feedback for growth • Guides new team members 24000

from: jobslin.com - 14 days ago