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

from: workable.com - 6 days ago

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

from: bossjob.ph - 9 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

from: jobslin.com - 19 days ago

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

from: jobslin.com - 7 days ago

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

from: bossjob.ph - 7 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

from: jobslin.com - 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

from: jobslin.com - 8 days ago

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

from: bossjob.ph - 26 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

from: jobslin.com - 8 days ago

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

from: jobslin.com - 7 days ago


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