Allied Healthcare Specialist
MetHealth
Keterangan Kerja
Manfaat
Pengiktirafan dan Ganjaran Pekerja
Bonus Prestasi, Hadiah Percutian
Insurans Kesihatan & Kesejahteraan
HMO
Pembangunan Profesional
Latihan Pekerjaan
Penerangan
- Conduct in-depth utilization reviews to ensure medical necessity and appropriate care
- Assess eligibility and validity of medical claims with accuracy and compliance
- Collaborate with healthcare providers to coordinate patient care plans and discharge processes
- Communicate results and next steps to patients regarding claims and coverage
- Analyze clinical data to improve patient care quality and operational efficiency
Syarat-syarat
- Graduate of Allied Sciences, Social Work, Psychology, Human Services, or similar (e.g., PT, MedTech, Nutrition, Pharmacy, RadTech)
- With at least 1 year of direct patient care experience – in long-term care, hospitals, case management, or community-based healthcare
- Familiar with BPO healthcare processes, Medicare/Medicaid, and managed care organizations
- HIV counselling experience required
- Active PRC License required
Kirby Del Poso
OwnerMetHealth
Tempat Bertugas
Robinsons Bridgetowne. H3VH+RX6, Quezon City, 1110 Metro Manila, Philippines
Disiarkan pada 21 May 2025
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51-100 Pekerja
Penjagaan Kesihatan
Lihat pengambilan kerja
Sertai Bossjob
Peringatan Keselamatan Bossjob
Jika jawatan memerlukan anda bekerja di luar negara, sila berhati-hati dan berhati-hati dengan penipuan.
Jika anda menemui majikan yang mempunyai tindakan berikut semasa pencarian kerja anda, sila laporkan segera
- menahan ID anda,
- menghendaki anda memberikan jaminan atau mengumpulkan sesuatu,
- memaksa anda untuk melabur atau mengumpul dana,
- mengumpul faedah haram,
- atau situasi haram yang lain.
