Registered Nurse
Metacom Business Process Outsourcing Solutions
- Makati City, Metro Manila
- ₱20,000-40,000 per month
- Permanent
- Full-time
- Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition.
- Consults with medical and treatment staff regarding client diagNosis, medical justification, length of treatment, and case documentation.
- Communicate with physicians to ascertain their plans for a timely discharge.
- Handle inbound and outbound calls from patients and healthcare providers
- Analyze and determine eligibility of medical claims
- Coordinate with providers and specialists in assessing validity of claims
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