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Medical Specialist | Philippines

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Adaptability
  • Business Acumen
  • Ethical Standards And Conduct
  • Time Management
  • Teamwork
  • Customer Service
  • Detail Oriented
  • Verbal Communication Skills
  • Empathy

Roles & Responsibilities

  • Active RN or LPN license required
  • 2+ years of client-facing experience preferred
  • Strong verbal and written communication skills
  • Working knowledge of medical terminology

Requirements:

  • Review, gather, and process medical documentation required for WTCHP and VCF claims
  • Communicate clearly with clients, providers, and third-party organizations to obtain required records
  • Maintain accurate case data in internal systems (e.g., Salesforce, CMS portals)
  • Ensure documentation meets quality standards and supports downstream legal and operational work

Job description

Description



The Medical Specialist ensures accurate, high-quality medical documentation that supports successful outcomes for clients applying to the World Trade Center Health Program (WTCHP) and the Victim Compensation Fund (VCF). This role gathers, reviews, and processes medical records, collaborates cross-functionally, and maintains workflow discipline to ensure timely and complete upstream deliverables. The Medical Specialist combines strong communication and service skills with working knowledge of medical terminology and program requirements.


JOB RESPONSIBILITIES

· Review, gather, and process medical documentation required for WTCHP and VCF claims.

· Communicate clearly with clients, providers, and third-party organizations to obtain required records.

· Maintain accurate case data in internal systems (e.g., Salesforce, CMS portals).

· Ensure documentation meets quality standards and supports downstream legal and operational work.

· Meet/exceed established KPIs and maintain workflow discipline to ensure timely deliverables.

· Collaborate cross-functionally with Client Advocates, Attorneys, Surrogates, PI/FA, and other partners.

· Escalate issues related to missing documentation, inconsistencies, or delays.

· Practice strong customer service with empathy, clarity, and responsiveness.

· Adapt to technology updates, new processes, and evolving program requirements.

· Perform other duties as assigned.

 


Peak Support and our Work-from-Home PLUS model

At Peak Support, we are dedicated to providing exceptional service to our clients and an exceptional work environment for our team members.


We don’t do this with ping pong tables or video games. We do it by creating a positive, encouraging and performance-driven culture that enables our team members to build rewarding, long-term careers. We’re proud that our Glassdoor rating of 4.5 is the highest in the Business Process Outsourcing industry.


Peak Support offers all the convenience of working from home, with the benefits of working for an established organization with an exceptional team and tremendous opportunities for growth. Peak Support has been 100% remote since day one, so we have built a culture and a set of processes that support the success of our remote team members.
 

Requirements

  

Education & Experience

· 2+ years of client-facing experience preferred

· Active RN or LPN license required


Core Skills

· Time Management

· Customer Service & Empathy

· Verbal + Written Communication

· Working Knowledge of Medical Terminology & Business Knowledge

· Technology Adaptability

· Ability to work cross-functionally 

· Team-oriented with strong ethical conduct

· Remote position, with quarterly on-site visits as needed. 

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