Hybrid Medical Adjudication Specialist - Impactful Claims

A leading healthcare company in Metro Manila seeks a Medical Adjudication Specialist to optimize healthcare operations and ensure accurate validation of medical claims. The role involves reviewing complex outpatient cases, providing coverage decisions for inpatient discharges, and managing urgent cases. Candidates should have at least 3 years of clinical experience, be detail-oriented, and possess excellent communication skills. This hybrid position offers comprehensive healthcare benefits from day one, and opportunities for professional growth.
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