UR Non-Clinical Admin Reviewer

Mandaluyong, National Capital Region, PH

6 days ago Requisition ID: 2677

Overview:

The Non-Clinical Administrator Reviewer is responsible for supporting the Utilization Review (UR) process by performing administrative and data-related tasks. This role focuses on ensuring that requests are complete, accurately documented and properly routed, without performing any clinical evaluation or interpretation of medical information.

Duties:

• Conduct initial screening of utilization review requests for completeness and accuracy of submitted information
• Review service requests to ensure all required non-clinical documentation is present;
• Collect, organize and transfer non-clinical data into internal systems;
• Input and maintain accurate data in Medata’s proprietary UR system;
• Assist in gathering data without performing a clinical analysis
• Ensure all assigned tasks are completed within est...