PHRN Clinical Reviewer

Summary

Join ISTA Solutions, a growing outsourcing company, as a Clinical Reviewer. You will play a key role in reviewing and evaluating patient medical records, preparing clinical packets, and ensuring compliance with healthcare regulations. This position requires a current PHRN license, strong knowledge of US healthcare insurance and prehospital patient care, and excellent attention to detail. You will collaborate with medical and administrative staff and maintain accurate records. ISTA Solutions offers competitive salary and benefits, including health insurance, paid time off, and opportunities for professional development. The ideal candidate resides in the Greater Manila Area and is willing to work a shifting schedule.

Requirements

• Current and valid PHRN license
• Good working knowledge with US Healthcare Insurance
• Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements
• Excellent attention to detail and analytical skills
• Good verbal and written English skills
• Ability to work independently and collaboratively in a team-oriented environment
• Commitment to continuous learning and professional development
• Must be residing within GMA (Greater Manila Area)
• Willing to work on shifting schedule (weekdays and weekends)

Responsibilities

• Reviewing Medical Records: Thoroughly review and evaluate patient records, including therapy notes, discharge summaries, clinical notes, and progress notes, to ensure completeness and accuracy
• Clinical Packet Preparation: Prepare and send clinical packets to SNFs in accordance with required guidelines, ensuring all relevant documentation is included
• Clinical Note Evaluation: Assess and verify the clinical validity of therapy notes, progress notes, and other patient-related documentation to ensure that all records reflect appropriate care and treatment plans
• Compliance & Quality Assurance: Ensure all patient records meet regulatory and facility standards for accuracy, completeness, and compliance with healthcare regulations
• Collaboration: Work closely with medical and administrative staff to resolve any issues with patient documentation and to facilitate the timely submission of clinical records
• Data Entry & Recordkeeping: Maintain detailed and accurate records of the clinical review process, tracking any discrepancies or issues that need to be addressed

Benefits

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10% night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills