USRN - InterQual Account

MetHealth

急招
2.7-5.3Kر.س[月薪]
混合办公 - 宿務1-3 年經驗本科全職
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職位描述

福利待遇

  • 員工表彰與獎勵

    績效獎金, 周年禮物, 月度獎, 員工表彰計畫, 節日禮物

  • 法定福利

    13薪, 員工貸款, Pag-Ibig 基金, 帶薪假, 菲爾健康, SSS/GSIS

  • 健康保險

    健康保險, 人壽保險, 健康維護組織

  • 職業發展

    員工援助計畫, 職業發展, 獎學金計畫

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簡介

  • Health Insurance Education & Support: Assist patients with understanding insurance coverage, claims results, and care navigation across complex medical conditions and multi-provider coordination.
  • Leadership & Mentorship: Act as a clinical resource for less experienced team members, provide coaching and feedback, and support professional development within the team.
  • Complex Problem Solving & Analysis: Solve moderately to highly complex problems by interpreting clinical data, identifying trends, and offering actionable solutions with minimal supervision.
  • Research & Evidence-Based Review: Conduct non-clinical research to support benefit determinations and ensure that final decisions are grounded in the latest clinical evidence and standards.
  • Documentation & Reporting Excellence: Maintain high standards of accuracy and timeliness in clinical review documentation, ensuring all decisions are well-supported and communicated to stakeholders.
  • Temporary Work-From-Home Setup

職位要求

  • Must have At least 2 Years Hospital Experience 
  • 2 years Healthcare BPO Experience (As Utilization Management or Clinical Denial and Appeals) 
  • Active USRN License 
  • Must have knowledgeable with Interqual Or MCG Guidelines System 
  • Must Be Amenable To Work On-Site For The First 2 Weeks To Get The Assets or Equipment
Patient Care Skills批判性思維Decision-Making(EHR) Proficiency人際溝通能力通訊Ethical Standards
Preview

Kirby Del Poso

OwnerMetHealth

回應率高

工作地址

Cebu City. Cebu City, Cebu, Philippines

發布於 02 July 2025

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MetHealth

無需融資

51-100 人

醫療保健

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