Utilization Reviewer – Doctor (Office-Based)

eData Services US, L.L.C. · Taguig

🇬🇧 English

Job description

About the role

The Utilization Reviewer – Doctor works on‑site to evaluate the delivery of medical services, ensuring that patient care is appropriate, medically necessary, and of high quality. This office‑based position involves detailed review of clinical documentation and the application of client‑specific guidelines.

Key responsibilities

Assess medical records to verify that care provided aligns with patient needs and established clinical criteria.
Abstract and analyze medical documentation using client‑specific templates and guidelines.
Enter approved guidelines and reference information into the review system.
Document findings clearly and accurately for further processing.

Required profile

Graduate or undergraduate degree in Medicine (licensed or non‑licensed).
Excellent oral and written communication skills.
Willingness to work on‑site at McKinley, Taguig.

Required skills

What we offer

Full‑time employment with health and life insurance.
Paid training and opportunity for promotion to permanent employee.
Transportation service provided.

Questions fréquentes

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Published 3 months ago

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eData Services US, L.L.C.

Taguig

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