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Medicare UM coordinator Health care

Gratitude Inc

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2 days ago

Medicare UM coordinator Health care

2-3 Year(s)

Manila (Mandaluyong)

Manila (Mandaluyong)

Job Description

Key Skills

Utilization Management CMS NCD/LCD and medical necessity guidelines, HIPAA and regulatory knowledge E&M coding expertise, and EMR/encoder system proficiency.

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Job Title: Medicare UM Coordinator- Healthcare

Work Location: Greenfield (Mandaluyong)

Work Setup & Schedule: Onsite

Salary: Open Budget

Qualifications :

•Requires experience in utilization management, medical terminology, EMR familiarity, and strong judgment. Preferred: NCQA UM guidelines, CMS regulations, and understanding of LCD/NCD.

• At least 2-3 years relevant experience

• Requires a US‑licensed RN

Pre-Screening Notes

Educational Attainment:

Years of Relevant Experience:

USRN / PHRN License (include validity/expiration date)

Last Drawn Salary:

Expected Salary:

Role

Admin Services/Medical Facilities

Timings

Day Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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Tolulope Edun

Recruiter - Gratitude Inc

NA, nigeria

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