A healthcare solutions company is looking for a Licensed Nurse or equivalent to review medical records in Cebu City. Responsibilities include ensuring medical records completeness, developing clinical chronologies, and assessing documentation relevance. Candidates should have strong communication skills and at least 6 months of BPO experience. This position requires working night shifts on-site in a dynamic environment.
Qualifications
Must be licensed in the Philippines as a Nurse (RN) or equivalent.
At least 6 months of BPO experience preferred.
Strong ability to analyze medical records clinically.
Responsibilities
Review medical records for completeness and quality.
Develop clinical chronologies from records.
Assess medical records for relevance to claimed conditions.
Skills
Interpreting and analyzing medical records
Excellent written communication skills
Verbal communication skills
Education
Licensed Nurse (RN) or equivalent clinical professional
Tools
Adobe Acrobat
Job description
Cebu City, Philippines | Posted on 04/20/2026
Review incoming medical records for completeness, relevance, and quality based on claim requirements
Develop a clinical chronology by organizing records to reflect the progression of diagnosis and treatment
Identify and differentiate diagnostic records from severity-related documentation
Assess medical records for causation support and relevance to the claimed condition
Detect gaps in clinical evidence (e.g., missing records, insufficient documentation, inconsistencies) and escalate with proper rationale
Utilize OCR tools (e.g., Adobe Acrobat) to process scanned documents; flag illegible records for reprocessing
Evaluate physician-issued severity letters to ensure alignment with required clinical standards
Maintain accurate filing and documentation of records within internal systems
Update system fields and ensure all relevant information is properly recorded
Manage daily task queues and prioritize urgent or time-sensitive cases
Communicate with medical providers or facilities when additional documentation is required
Requirements
Okay to work the night shift/Graveyard schedule
Willing to work on-site
Licensed Nurse (RN) or equivalent clinical professional (Philippine license accepted; active license preferred)
at least 6 months BPO experience (healthcare account experience is an advantage)
Strong ability to read, interpret, and analyze medical records at a clinical level
Experience in medical documentation, clinical review, or medicolegal records is preferred
Excellent written communication skills with the ability to present clinical findings clearly and concisely
Good verbal communication skills and willingness to coordinate with medical providers when needed