Utilization Reviewer - Doctor (Office-Based)
eData Services US, L.L.C. · Taguig
Job description
About the role
The Utilization Reviewer – Doctor works on‑site to evaluate medical services, ensuring that care delivered is appropriate, medically necessary, and of high quality. This office‑based position involves detailed review of patient records and the application of client‑specific guidelines.
Key responsibilities
- Assess delivery of medical services against established clinical guidelines.
- Examine patient documents to verify that care aligns with patient needs.
- Abstract and analyze medical records using client‑specific templates.
- Document findings and input approved guidelines and references into the review system.
Required profile
- Graduate or undergraduate degree in Medicine (licensed or non‑licensed).
- Excellent oral and written communication skills.
- Willingness to work onsite at McKinley, Taguig.
Required skills
What we offer
- Full‑time employment.
- Health insurance.
- Life insurance.
- Paid training.
- Opportunity for promotion to permanent employee.
- Transportation service provided.
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Published 1 month ago
Expires 1 week from now
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eData Services US, L.L.C.
Taguig
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