Registered Nurse | PHRN | Clinical Denials | Non Voice

QualificationsAt least 1 year of relevant BPO experience as a Clinical Denials and Appeals NurseMinimum of 6 mos hospital experiencePHRN licenseWilling to report onsite (McKinley West, Taguig) and on a night shift scheduleResponsibilitiesEffectively review inpatient and/or outpatient medical necessity and authorization denials to determine and understand the...

QualificationsAt least 1 year of relevant BPO experience as a Clinical Denials and Appeals NurseMinimum of 6 mos hospital experiencePHRN licenseWilling to report onsite (McKinley West, Taguig) and on a night shift scheduleResponsibilitiesEffectively review inpatient and/or outpatient medical necessity and authorization denials to determine and understand the...

Make your next big career move by applying as KMC Solutions’ next PHRN CLINICAL DENIALS AND APPEALS NURSE (PHRN)!The main responsibilities of a PHRN CLINICAL DENIALS AND APPEALS NURSE (PHRN) include:Effectively review inpatient and/or outpatient medical necessity and authorization denials to determine and understand the validity of such denials in a timely...

AVAILABLE POSITIONSUtilization Management Reviewer - At least 1 yr experience as UMR + 6 mos clinical/hospital experience (PHRN)Clinical Authorization Specialist - At least 1 yr background in Clinical Authorization + 6 mos clinical/hospital experience (Non-Registered Nurses are welcome to apply)Clinical Team Leader - At least 5 years of relevant BPO...

Make your next big career move by applying as KMC Solutions' next PHRN CLINICAL DENIALS AND APPEALS NURSE (PHRN)The main responsibilities of a PHRN CLINICAL DENIALS AND APPEALS NURSE (PHRN) include:Effectively review inpatient and/or outpatient medical necessity and authorization denials to determine and understand the validity of such denials in a timely...

MetHealth is actively hiring for PH Registered Nurses! Join our team and enjoy the benefits of working from the comfort of your home. If you're a PHRN, we want to hear from you! Don't miss out on this exciting opportunity. Are you thrilled about delivering outstanding customer service? We're seeking a dedicated PHRN Nurse. They will join our Healthcare...

Registered Nurse needed to ensure completion of patient cases by conducting roll calls, processing clinical reviews, and authorizing surgeries. Key Responsibilities: Perform advanced clinical denial and utilization management work. Manage medical denials through comprehensive review of clinical documentation. Handle audit and...

MetHealth is actively hiring for PH Registered Nurses! Join our team and enjoy the benefits of working from the comfort of your home. If you're a PHRN, we want to hear from you! Don't miss out on this exciting opportunity. Are you thrilled about delivering outstanding customer service? We're seeking a dedicated PHRN Nurse. They will join our Healthcare...

SUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...

MetHealth is actively hiring for PH Registered Nurses!Join our team and enjoy the benefits of working from the comfort of your home. If you're a PHRN, we want to hear from you! Don't miss out on this exciting opportunity. Are you thrilled about delivering outstanding customer service? We're seeking a dedicated PHRN Nurse. They will join our Healthcare Voice...

SUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...

QualificationsAt least 1 year of relevant BPO experience as a Utilization Review NursePHRN licensed Willing to report onsite and on a night shift scheduleJob DescriptionProvide health care utilization review services regarding admissions, observations, Discharge Wqs based on the payer types and review types. Review admissions and service requests within...

Nezda Global PH is seeking USRN and PHRN for its BPO partner in Pasig City Position: USRN and PHRNLocation: Bank Plaza, Meralco Avenue, cor Onyx and Sapphire St. Ortigas, Pasig CityWork Set-Up: Onsite and Night ShiftStart Date: October 2024 Qualifications:✓ USRN or PHRN with a minimum of 2 years of clinical nursing or case management experience✓ At least...

Are you thrilled about delivering outstanding customer service? We're looking for a vibrant PHRN to join our team in Manila, Alabang and Cebu City.Your Key Responsibilities:Assist patients and healthcare providers by delivering exceptional voice support.Provide accurate information and resolve inquiries.Maintain detailed and confidential patient...

Are you thrilled about delivering outstanding customer service? We're looking for a vibrant PHRN to join our team in Manila, Alabang and Cebu City. Your Key Responsibilities: Assist patients and healthcare providers by delivering exceptional voice support. Provide accurate information and resolve inquiries. Maintain detailed and confidential patient...

Are you thrilled about delivering outstanding customer service? We're looking for a vibrant PHRN to join our team in Manila, Alabang and Cebu City. Your Key Responsibilities: Assist patients and healthcare providers by delivering exceptional voice support. Provide accurate information and resolve inquiries. Maintain detailed and confidential patient...

Manila PHRN - Insurance Voice 5 months Onsite Training then hybid set up after College Graduate 2 Years Clinical Experience 30,175 HMO Plus 3 Dependents, 22 Paid Leaves 13th Month Pay

QualificationsAt least 2 years of relevant BPO experience as a Quality Auditor for Clinical AuthorizationWilling to report onsite and on a night shift scheduleResponsibilitiesContact insurance carriers to verify patient’s insurance eligibility, benefits and requirements. Request, track and obtain pre-authorization from insurance carriers within time...

Manila PHRN - Insurance Voice 5 months Onsite Training then hybid set up after College Graduate 2 Years Clinical Experience 30,175 HMO Plus 3 Dependents, 22 Paid Leaves 13th Month Pay

Needed Qualifications:Good communication skills.College graduate in nursing with a Public Health Registered Nurse (PHRN) license.Two years of clinical experience.Perks You'll Enjoy:25k plus a 3k bonus depending on performance onsiteHMO coverage for you and three dependents.Twenty-two paid leaves.Thirteenth month pay.Weekends OffIf you're a dedicated...