46 Medical Review Jobs in Quezon City
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Medical VA | Credentialing Specialist Global Medical Virtual Assistants - Quezon, National Capital Region credentialing databases, and ensuring that all staff members hold the necessary legal certifications to practice in their respective fields. TASKS (Including but not limited to): Review and confirm the validity 540,000 - 546,000 6 days ago
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Regulatory Affairs Pharmacist Fixus Enterprises - Quezon City, Philippines regulatory guidelines regarding medical device labeling, packaging, and advertising. Review and approve marketing materials to ensure accuracy and compliance with regulatory requirements. Conduct regular 9 days ago
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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
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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
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Cardiographics Technician UERMMMC - Quezon City Job Description : Performs and/or assists in the performance of tasks such as but not limited to the following: Review medical history, orient and prepare patients for procedure; Performs technical 7 days ago
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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
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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
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Medical Billing & Claims Processor RMLPH - Quezon City Medical Biller & Claims ProcessorRML-PH - Quezon City (Remote) Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply 26 days ago
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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
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Manila-Based PHRN Job - HMO plus Work-Life Balance - Apply Today MetHealth - Eastwood City, Quezon • Escalate complex cases to appropriate departments for resolution. • Stay updated on industry trends and medical policies. • Assist in policy development for medical claim reviews. 35000 7 days ago
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