17 Medical Review Jobs in Calabarzon
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Registered Nurse - PHRN E-Solutions IT Services - Muntinlupa, Philippines established protocols. Conduct comprehensive medical reviews, analyzing patient data and clinical records. Deliver appropriate health education and clinical recommendations based on findings. Accurately Yesterday
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IP Medical Coder HRTX - Taguig, Metro Manila, Philippines Job Description: Review inpatient medical records and assigned accurate ICD-10-CM and PCS codes for diagnoses and procedures. Assign and sequenced codes accurately based on medical record documentation. Assign POA 15 days ago
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Home Health Coders (Work from home) Global Healthcare Resource Philippines - Muntinlupa, National Capital Region to manage high-volume coding Responsibilities: Review medical records and assign accurate diagnosis codes Ensure coding aligns with OASIS and POC documentation Collaborate with clinical and billing teams 60000 7 days ago
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PHRN - Utilization Review / Clinical Authorization HRTX - Taguig, Metro Manila, Philippines insurance eligibility, benefits, and requirements with payers Request, track, and secure pre-authorizations for medical services and procedures Review and follow up on oncology chemotherapy drug 7 days ago
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Utilization Review Nurse/Doctor Dynamic Talent Solutions - Taguig, Philippines Utilization Review Nurse and Doctor The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high 14 days ago
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Prior Authorization Quality Analyst HRTX - Taguig, Metro Manila, Philippines carriers within time allotted for medical and services. Review, request, follow up and secure authorizations for high dollar cost oncology chemotherapy drugs. Demonstrate and apply knowledge of medical 9 days ago
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PHRN - Clinical Denials and Appeals Gratitude Philippines - Taguig, Philippines Work set up: Onsite Opportunity MCK Taguig, Cyber Sigma Building Work schedule :Weekdays Night Shift schedule, Fixed Weekends Off Effectively review inpatient and/or outpatient medical necessity More than 30 days ago
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PHRN / Clinical Denials and Appeals Manpower Core Group Inc. - Taguig City, National Capital Region inpatient and/or outpatient medical necessity and authorization denials to determine and understand the validity of such denials in a timely manner --Should conduct comprehensive reviews of the claim denial 50000 More than 30 days ago
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Medical Transcriptionist Manpower Core Group Inc. - Alabang, National Capital Region medical terminology. Ensure timely delivery of completed documents while meeting quality and confidentiality standards. Review reports for inconsistencies or missing information and verify with dictating 35000 More than 30 days ago
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PHRN – Clinical Authorization Go-Get Data Consultancy - Taguig, Philippines carriers within time allotted for medical and services. Review, request, follow up and secure authorizations for high dollar cost oncology chemotherapy drugs. Demonstrate and apply knowledge of medical More than 30 days ago
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