Utilization Reviewer – Medical Services

eData Services US, L.L.C. · Taguig

🇬🇧 English

Job description

About the role

We are looking for a Utilization Reviewer to evaluate the delivery of medical services, ensuring that patient care is appropriate, medically necessary and of high quality. The role involves reviewing medical documentation and applying client‑specific guidelines.

Key responsibilities

Assess medical service delivery for appropriateness, necessity and quality.
Review and abstract medical records in line with established guidelines.
Analyze documentation and complete reports using client‑specific templates.
Input approved guidelines and reference materials into the review system.

Required profile

Graduate or undergraduate degree in Medicine.
Proficiency with Microsoft Office applications.
Strong English writing ability.
Willingness to work onsite at McKinley, Taguig.

Required skills

Microsoft Office (Word, Excel, PowerPoint).

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Published 2 months ago

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eData Services US, L.L.C.

Taguig

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