Latest Medical Review jobs in Manila (page 2)

47 Medical Review Jobs in Manila - page 2

Medical Allied Graduates (Fresh Grads are Welcome!) Access Healthcare Services - Taguig and treatment details Review and verify medical insurance claims to ensure that they meet the coverage criteria Address inquiries from insurance companies, and ensure timely approval to facilitate effective 6 days ago
Medical Quality Assurance Nurse l WFH l Night shift Manpower Core Group Inc. - Quezon City, National Capital Region : As a Medical Quality Assurance Specialist, you will: Audits daily notes for proper documentation and ensures chart reviews are timely, accurate, and meet all data requirements under CMS guideline Collaborates 55000 19 days ago
Part Time – Certified Medical Coder VISAYA - Pasig Job Description Review and annotate medical documents, such as patient records, treatment plans, expense estimates, medical bills, and diagnostic imaging results. Maintain an up-to-date understanding Yesterday
PHRN Needed - Earn Up to 35K - Weekends Off - WFH After MetHealth - Eastwood City, Quezon • Utilize client-specific criteria sets for claim assessments. • Route cases accurately to client medical staff for final decisions. • Conduct medical management reviews with attention to detail. 35000 7 days ago
Technical Writer/Editor - Scientific Documentation (Medical Sciences) QuickStart Careers - Pasig , adaptability, and a strong command of the English language (C1 level or higher). Key Responsibilities Create, review, and maintain scientific and technical documentation related to dental and medical products 4 days ago
PRC Licensed Nurse - Your Next Step in Clinical Excellence MetHealth - Eastwood City, Quezon • Partner with healthcare providers to ensure optimal member outcomes and maximize benefits for patients. • Oversee the initial benefit determinations and medical necessity reviews, ensuring 35000 8 days ago
Company Physician (Ob/Gyn) - Quezon City ActiveOne Health - Makati be appropriately revised or removed. Conduct periodic examinations of employees in designated medical monitoring programs; through health data analysis.promotion and disease prevention. Review results of medical 8 days ago
Healthcare Professional Night Shifts - PRC and ORC Required MetHealth - Eastwood City, Quezon • Collaborate with the Medical Director to review cases that do not meet medical necessity standards. • Ensure that all written communication to providers and members is accurate and timely, in line 35000 8 days ago
Night Shift Clinical Nurse - Weekends Free - PRC License Needed MetHealth - Eastwood City, Quezon for approval or denial, and forward cases to the Medical Director for final review. Review medical claims to verify medical necessity based on established guidelines. • Interpret customer needs and assess 35000 8 days ago
US Registered Nurse - Taguig City, NCR Optum - Pasig ). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. *Employees 8 days ago

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