Acclaimed Solutions

Medical Case Reviewer PHRN (Remote)

Acclaimed Solutions  •  Davao, PH (Remote)  •  16 days ago
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Job Description

Responsibilities:

  • Accountable for daily management of assigned cases, adhering to client turnaround time, and department Standard Operating Procedures.

  • Complete preliminary review of medical cases ensuring all tasks are completed in a timely fashion.

  • Maintain productivity standards with speed and accuracy.

  • Support non-clinical staff with clinically related questions or issues that arise related to case review.

  • If needed, actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client needs.

  • Assist team members with questions, participates in team meetings.

  • Participates in ongoing training programs to ensure quality performance in compliance with applicable standards and regulations.

  • Recommend new methods to improve departmental procedures.

  • Follows company policies and procedures

  • Respects and maintains HIPAA confidentiality guidelines.

  • Must be able to work independently, with minimal supervision.

  • Must be flexible in work schedule changes, as needed.

  • Must be accountable for all assigned cases.

  • Assists in the creation of process-related templates, if needed.

  • Other duties as assigned

Qualifications:

  • A Bachelor's degree in Nursing; Preferably PHRN and holds an active PH License

  • Preferably with experience in the use of EMR and doing medical summaries.

  • Good computer skills and the ability to use business support software.

  • Project management, and quality control skills.

  • Good resource planning skills.

  • Strong teamwork skills and attention to detail.

Computer specs Requirement (work from home set up):

  • Fiber connection and has at least 20mbps download and upload speed
  • Has available backup internet minimum of 15mbps download and upload speed
  • Main desktop/laptop must be i5 to i7 w/ 8GB RAM ; 4th generation and above
  • Backup desktop/laptop must be i3 to i5 w/ 8GB RAM ; 4th generation and above
Acclaimed Solutions

About Acclaimed Solutions

We empower businesses to thrive by streamlining operations and allowing them to focus on core objectives. Our expertise in Business Process Outsourcing (BPO), remote team management, virtual assistant services, and top-tier customer support enables us to optimize processes, boost productivity, and drive growth for our clients. Let's work together for success!

Industry
Consulting & Advisory
Company Size
1-10 employees
Headquarters
Davao City, PH
Year Founded
2019
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