Allied Healthcare Specialist

MetHealth

عاجل
1.6-2Kد.إ[شهريًا]
في الموقع - مدينة كويزون<1 سنة خبرةبكالوريوسدوام كامل
مشاركة

وصف الوظيفة

المزايا

  • تقدير ومكافآت الموظفين

    مكافأة الأداء, هدايا العطلات

  • تأمين الصحة والعافية

    HMO

  • تطوير مهني

    تدريب وظيفي

الوصف

  • 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

المتطلبات

  • 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
مهارات التواصلClinical AssessmentClaims Evaluation SkillsTeam Coordinationالاهتمام بالتفاصيل
Preview

Kirby Del Poso

OwnerMetHealth

إجابة اليوم مرة واحدة

موقع العمل

Robinsons Bridgetowne. H3VH+RX6, Quezon City, 1110 Metro Manila, Philippines

نشر بتاريخ 21 May 2025

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