Allied Healthcare Specialist
MetHealth
Descripción del trabajo
Beneficios
Reconocimiento y Recompensas de Empleados
Bono de rendimiento, Regalos de Navidad
Seguro de salud y bienestar
HMO
Desarrollo profesional
Entrenamiento de Job
- Conduct in-depth utilization reviews to ensure medical necessity and appropriate care
- Assess eligibility and validity of medical claims with accuracy and compliance
- Collaborate with healthcare providers to coordinate patient care plans and discharge processes
- Communicate results and next steps to patients regarding claims and coverage
- Analyze clinical data to improve patient care quality and operational efficiency
- Graduate of Allied Sciences, Social Work, Psychology, Human Services, or similar (e.g., PT, MedTech, Nutrition, Pharmacy, RadTech)
- With at least 1 year of direct patient care experience – in long-term care, hospitals, case management, or community-based healthcare
- Familiar with BPO healthcare processes, Medicare/Medicaid, and managed care organizations
- HIV counselling experience required
- Active PRC License required
Kirby Del Poso
OwnerMetHealth
Responder hoy 1 vez
Ubicación laboral
Robinsons Bridgetowne. H3VH+RX6, Quezon City, 1110 Metro Manila, Philippines
Publicado el 21 May 2025
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