Utilization Reviewer - Doctor

eData Services Philippines Inc.; Taguig; On-site; PHP 279,000 - 446,000; Full time

Job summary

eData Services Philippines Inc. seeks a Reviewer to assess medical service delivery for appropriateness, necessity, and quality. The role includes reviewing documentation, abstracting medical records, and applying client-specific guidelines and templates.

The candidate should be a Medicine graduate or undergraduate with strong English writing skills and knowledge of MS Office. Onsite work at McKinley, Taguig is required.

Qualifications

• Graduate or undergraduate of Medicine.
• Proficiency 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 high quality.
• Abstract medical records and analyze documentation based on client guidelines and templates.
• Document findings and input approved Guidelines and References.

Skills

English writing

Education

Medicine (MD/MBBS) – graduate or undergraduate

Tools

MS Office

Job description

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