Staff Physician Reviewer (Medical Doctor)
(Central Visayas – Cebu City)
Responsibilities:
Utilization Review Medical Necessary Evaluations
This program provides physician-based review services, which are defined in the industry as “the evaluation of medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities.”
Peer Review/Chart Reviews
The Peer Review/Chart Review product is a medical chart review to address any of the following issues: a review of medical necessity of a requested health care service, either proposed or given, as well as compensability, relatedness, Maximal Medical Improvement, impairment ratings, etc.
ESSENTIAL DUTIES and RESPONSIBILITIES
* Reviews treatment requests on workers’ compensation claims to determine medical necessity and appropriateness of care
* Compares treatment requests to evidence based clinical guidelines
* Prepares documentation in a template format
* Adheres to company turnaround time requirements for completion of reviews
* Performs chart reviews to address multiple issues as assigned
* Maintains acceptable levels of performance including but not limited to attendance, adherence, customer courtesy, and all other productivity and efficiency targets and objectives
* Learns new methods and services as the job requires
* Other related duties assigned
Requirements:
* Candidate must possess at least a Professional License (Passed Board/Bar/Professional License Exam), Medicine or equivalent.
* Required language(s): English
* At least 1 year(s) of working experience in the related field is required for this position.
* Applicants must be willing to work in Cebu City.
* Preferably 1-4 Yrs Experienced Employees specializing in Healthcare – Doctor/Diagnosis or equivalent.
* Full-Time positions available.
JOB QUALIFICATIONS and REQUIREMENTS
Education
The Physician Review program candidate must have an unrestricted board certified PRC license to practice as a physician and have any special certificates such as Board-certification in a specialty relevant to the types of reviews performed.
CREDENTIALS
* Board certified MD with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
* Current, unrestricted clinical license(s)
* Specialty in orthopedic surgery, physical medicine & rehabilitation or occupational medicine preferred.
Qualifications
JOB RELEVANT EXPERIENCE
Post-graduate experience in direct patient care and the experience with the different type of physician reviews performed:
* Utilization Review/Medical Necessary Review
* Peer Reviews
* Worker’s Compensation
* General Liability
* Group Health
JOB-RELATED SKILLS/COMPETENCIES
* Demonstrated advanced computer and communication skills
* Ability to read and summarize clinical records efficiently
* Ability to work in an office-based environment
* Expertise in clinical problem-solving
* Demonstrated ability to perform review services
* Ability to work with various professionals including nurses and health care professionals
* Medical direction shall also be provided consistent with the requirement that the physician reviewer shall not have a financial conflict of interest
* Evidence-based practice guidelines orientation
* Knowledge of current practice standards in specialty
Work Schedule:
1. Able to work rotational shifts with adherence to schedule a must, including evenings, weekends and overtime as necessary
2. Willingness to render extended hour/s as the need arises.
Company Address: 5th flr. Paseo Center,Paseo Roxas, Makati City Makati City *
Fax: 894-1925
Industry: Call Center / IT-Enabled Services / BPO
CALL CENTER POSITIONS FOR HEALTHCARE AND MEDICAL SERVICE ACCOUNT
(National Capital Reg – Makati City)
Responsibilities:
• Answer customers’ inquiries
• Handle queries and advocate resolutions to issues in a timely and accurate manner
• Ensure that call quality is observed in resolving customer needs
• Provide excellent customer service.
Requirements:
• Candidate must possess at least a Bachelor’s/College Degree in Dentistry, Nursing, Medical Science, Pharmacy/Pharmacology, Medicine, Physical Therapy/Physiotherapy or equivalent.
• Excellent communication skills.
• Willing to be assigned in Makati City.
• Fresh graduates/Entry level applicants are encouraged to apply.
• 160 Full-Time positions available.
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Reminders
Recruitment hours: 8:00 am to 3:00 pm, Mondays to Fridays
Please bring 4 copies of updated resume and a valid ID. Be in smart casual attire.
For inquiries, please call Bryan at 451-9999 loc 6008 or 09228344022.
Call Center Agent – Healthcare Service Professionals
(National Capital Reg – Libis)
Requirements:
* Requirements:
* College graduate of any course is preferred or college level with relevant call center work experience (minimum 3 mos)
* Excellent comprehension and listening skills
* Excellent command of spoken and written English
* Excellent customer handling and problem solving skills
* Willing to be assigned in Libis
* Willing to work on a graveyard shift
* Training starts on July 3, 2009
* IMMEDIATE HIRING
* If interested, visit our office
* COMPENSATION PACKAGE:
* 13k basic salary
* 15k basic salary after certification
* 10% Night Differential
* Meal and Transportation allowances
TeleDevelopment Services, Inc.
35 – 36th flr. Robinson Equitable Tower,,
ADB Ave. Ortigas Center,
Pasig City,
National Capital Reg 1600
Telephone: 6318230 Fax: 6367626
Customer Service Representative – Healthcare (Cebu)
REQUIREMENTS:
* College Degree Holder
* At least six (6) months call center experience
* Problem-solving and analytical skills
* Strong customer service skills
* Excellent English communication skills
* Preferably with sales and call center experience
* Willing to work in shifts
* Willing to work in Cebu City
MANILA
PeopleSupport Center
Ayala corner Sen. Gil Puyat Avenue
Makati City
Mondays to Saturdays, 9:00 am to 5:00 pm
Manila HR Hotline (02) 755-2600
CEBU
e-Office 1, AsiaTown IT Park
Apas, Cebu City
Mondays to Saturdays, 9:00 am to 5:00 pm
Cebu HR Hotline (032) 234-8247
DAVAO
B-1 Luisa Avenue Square, Jacinto Extension
Davao City
Mondays to Fridays, 9:00 am to 5:00 pm
Davao HR Hotline (082) 227-9301
BAGUIO
PeopleSupport Center
SM Fiesta Strip
Harrison Road, Baguio City
Mondays to Fridays, 9:00 am to 5:00 pm
FIXED SCHEDULE, WEEKENDS OFF!- Apply as a Healthcare Customer Service Associate (San Lazaro, Manila)
(National Capital Reg – San Lazaro, Manila)
RESPONSIBILITIES:
BE PART OF OUR PIONEER TEAM!
REQUIREMENTS:
* We are looking for candidates who have completed 2 years of college preferably a Computer related course
* Excellent communication skills in English
* We need candidates who are familiar with basic computer operations
* Having a previous call center background is an advantage
* Has an ability to apply a logical problem solving approach to resolving customer problems and inquiries
* Has strong interpersonal skills and ability to think independently and follow through effectively
* Full time positions available
* Applicants should be Filipino citizens or hold relevant residence status.
APPLY AT:
1. Recruitment Center: Level 1, St. Thomas Square, 1150 España Boulevard cor. Padre Campa St., Sampaloc, Manila
Recruitment Hours; Monday to Sundays, 10AM to 7PM
2. Job Caravan at Yellow Cab, SM San Lazaro
Mondays, Wednesdays and Fridays, 10AM to 7pm
3 . Job Caravan at Yellow Cab, SM Manila
Tuesdays and Thursdays, 10AM to 7pm
Bring the following:
Resume
Photocopy of Valid ID
