Medical Advisor at AZGROUPPROD
, , -
Full Time


Start Date

Immediate

Expiry Date

07 Jan, 26

Salary

0.0

Posted On

09 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Registered Nurse, Clinical Nursing, Emergency Room Experience, Medical Claims Review, Fluent English, Negotiation, Microsoft Office

Industry

IT Services and IT Consulting

Description
BENEFITS/PERKS Competitive Salary 13th and 14th month salary guaranteed Performance Incentive Plan / Yearly Bonus Retirement Program and Group Life Insurance Fixed Day Shift KEY RESPONSIBILITIES Key responsibilities will include, but are not limited to, the following: Preauthorization of in-patient treatment. Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation. Case management of complex high value cases. Maintain relationships with brokers/clients/providers. Medical claims reviews. Responsibility for Health, Safety and Welfare within team (please refer to the Company`s Safety Statement for full list of responsibilities). Ad hoc duties. KEY REQUIREMENTS Registered Nurse Clinical Nursing or Bedside Experience is required. Experience supporting the Emergency Room/Department is required Previous Medical Claims Review experience is an advantage but not required Fluent English- Any other language is a plus. Experience within the insurance industry, ideally in healthcare. Negotiation experience. Strong Knowledge of Microsoft Office (Excel, Word). Can work Onsite in Makati City for the first 6 months, Hybrid after 71093 | Physicians | Entry Level | n.a. | Allianz Partners | Full-Time | Permanent Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.    Great to have you on board.   Let's care for tomorrow.
Responsibilities
The Medical Advisor will be responsible for preauthorization of in-patient treatment and managing complex high-value cases. They will also maintain relationships with brokers, clients, and providers while conducting medical claims reviews.
Loading...