Opportunity Description
Cebu City, Philippines | Posted on 04/20/2026
- Review incoming medical records for completeness, relevance, and quality based on claim requirements
- Develop a clinical chronology by organizing records to reflect the progression of diagnosis and treatment
- Identify and differentiate diagnostic records from severity-related documentation
- Assess medical records for causation support and relevance to the claimed condition
- Detect gaps in clinical evidence (e.g., missing records, insufficient documentation, inconsistencies) and escalate with proper rationale
- Utilize OCR tools (e.g., Adobe Acrobat) to process scanned documents; flag illegible records for reprocessing
- Evaluate physician-issued severity letters to ensure alignment with required clinical standards
- Maintain accurate filing and documentation of records within internal systems
- Update system fields and ensure all relevant info...
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