Utilization Review Professional for BPO Full Time Position in Manila

2 semanas atrás


Braga, Braga, Portugal Nezda Global Tempo inteiro

Overview

We are seeking a skilled Utilization Review Nurse to join our team at Nezda Global. This is a full-time position based in BGC, Manila.

Salary

The estimated salary for this role is ₱1,200,000 - ₱1,500,000 per annum, depending on experience.

Job Description

In this role, you will be responsible for reviewing medical claims and ensuring that they meet the required standards. Your duties will include:

  • Reviewing medical records and reports
  • Evaluating the necessity and appropriateness of medical services
  • Communicating with healthcare providers and insurance companies
  • Identifying areas for process improvement

Required Skills and Qualifications

To be successful in this role, you will need:

  • A degree in Nursing from a reputable institution
  • An active PRC license
  • At least 1 year of experience in utilization review
  • Excellent analytical and communication skills

Benefits

We offer a competitive benefits package, including:

  • Medical and dental insurance
  • Retirement plan
  • Vacation and sick leave

Others

This is a fantastic opportunity to work with a dynamic team and develop your skills in utilization review. If you are a motivated and organized individual with a passion for nursing, we encourage you to apply.



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