Utilization Review Doctor

eData Services Phils Inc.; Taguig; On-site; PHP 360,000 - 540,000; Full time

Benefits offered by this job

Health Insurance

Performance Bonus

Job summary

eData Services Phils Inc. in Taguig is seeking a Doctor for an on-site full-time reviewer role. The position focuses on assessing the delivery of medical services to ensure care is appropriate, medically necessary, and of high quality.

The reviewer will examine documents, apply client guidelines and templates, and input approved references to support accurate medical decision-making. MS Office proficiency and strong English writing skills are essential.

Qualifications

• Graduate or undergraduate of Medicine.
• Knowledge in MS Office applications.
• Above average English writing skills.

Responsibilities

• Assess the delivery of medical services to determine if care is appropriate, medically necessary, and of high quality.
• Review medical records and input approved guidelines and references.
• Ensure documentation aligns with client-specific templates and guidelines.

Skills

English writing

Education

Medicine (Graduate/Undergraduate)

Tools

MS Office

Job description

On-site - Taguig No Exp Required Doctor Full-time

Job Description

Employee Recognition and Rewards

Performance Bonus

Government Mandated Benefits

Insurance Health & Wellness

Health Insurance

Read More

The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent with their needs as well as inputting of approved Guidelines and References. The review typically involves medical records abstracting, analysis and documentation based on client-specific guidelines and templates.

Minimum Qualifications:

• Graduate or undergraduate of Medicine
• Knowledge in MS Office applications
• Above average English writing skills
• Willing to work onsite at Mckinley, Taguig