Current jobs related to PHRN | Clinical Auth, UMR, Leadership | Virtual Process - Manila, National Capital Region - AGS health
-
Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full timeSeeking a detail-oriented and organized professional to manage UMR and pre-auth processes, with a strong understanding of medical necessity guidelines and denials. **Job Summary:** We are looking for a skilled PHRN or USRN to join our team, with a strong background in clinical experience and knowledge of UMR and pre-auth processes. ...
-
Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full timeMUST BE PHRN 2 yrs w/o clinical experienceMinimum 1 yr UMR and or pre auth experience with knowledge of denials and medical necessity guidelines-1 yr w/ clinical experience (bedside Medical Surgical, ER or OR)-1yr BPO w/ clinical experience or 2yrs BPO w/o clinical experience Offer :PHRN UMR- up to 50k package Temp WFH USRN UMR - up to 75k ( onsite )
-
usrn and phrn with umr experience
1 month ago
Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full timeNezda 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...
-
Manila, National Capital Region, Philippines Virtual Superstars Full timeJob Overview:Position Title: Virtual Superstars Staffing Solutions CoordinatorExperience Needed: 3+ years of relevant experienceWork Hours: Part-time, 16 hours per week (specific schedule to be discussed w/ the client)Work Arrangement: Remote work (from anywhere in the Philippines)The Virtual Superstars Staffing Solutions Coordinator will play a crucial role...
-
PHRN Clinical Denials and Appeals
1 week ago
Manila, National Capital Region, Philippines AGS health Full timeClinical Denials and Appeals NurseWe are an analytics-driven, technology-enabled revenue cycle management company looking for a skilled Clinical Denials and Appeals Nurse with at least 1 year of relevant BPO experience. The ideal candidate will have a PHRN license, 6 months of hospital experience, and be willing to work a night shift...
-
PHRN Clinical Denials and Appeals
1 week ago
Manila, National Capital Region, Philippines AGS health Full timeJob Description**Summary:** Clinical Denials and Appeals Nurse with 1+ year BPO experience, PHRN license, and 6+ months hospital experience, willing to work onsite at McKinley West, Taguig, on a night shift schedule.**Responsibilities:*** Review inpatient and/or outpatient medical necessity and authorization denials to determine validity.* Conduct...
-
Healthcare Process Trainer
3 weeks ago
Manila, National Capital Region, Philippines Viventis Search Asia Full timeJob Summary: Experienced process trainer sought to develop and implement clinical capability development trainings for frontline staff in a healthcare vertical account. Key Responsibilities: Conducts new hire interviews and provides feedback to operations Develops and implements effective systems for process updates and training curriculum Provides...
-
Administrative Support Specialist
2 weeks ago
Manila, National Capital Region, Philippines Virtual Superstars Full timeJob Title: Executive AssistantAt Virtual Superstars, we're dedicated to providing exceptional staffing solutions worldwide. Our mission is to connect businesses with top-tier professionals to streamline operations and enhance productivity.Job OverviewThe Executive Assistant will play a crucial role in ensuring the smooth operation of our client's clinics....
-
Executive Assistant
2 weeks ago
Manila, National Capital Region, Philippines Virtual Superstars Full timeCompany Overview At Virtual Superstars, we specialize in providing exceptional staffing solutions worldwide. We connect businesses with top-tier professionals to streamline operations and enhance productivity. Our mission is to provide top-tier talent to help businesses thrive and streamline their operations. Job Overview **Position Title:**...
-
Clinical Nurse Appeals Specialist
2 weeks ago
Manila, National Capital Region, Philippines Dencom Consultanacy Full timeJob Requirements:- Possess a strong clinical background with at least 3 years of experience as a PHRN/USRN.- Proven track record of writing effective appeals for denied claims in the I/OP setting.- In-depth knowledge of MCG/InterQual criteria is essential for success in this role.Work Environment:- Willingness to work on-site and adapt to a night shift...
-
Clinical Trial Assistant
1 week ago
Manila, National Capital Region, Philippines Go Lean Health Full timeClinical Trial Virtual AssistantAt Go Lean Health, we are seeking a highly organized and detail-oriented Clinical Trial Virtual Assistant to join our team. As a Clinical Trial Virtual Assistant, you will play a crucial role in supporting our clinical trials by handling medical receptionist duties, including phone calls, taking down demographic information,...
-
Clinical Nurse Appeals Specialist
2 weeks ago
Manila, National Capital Region, Philippines Dencom Consultanacy Full timeJob Requirements:- A PHRN/USRN with at least 3 years of clinical experience is required for this role.- The ideal candidate will have solid appeals writing experience for denied claims (I/OP).- Knowledge of MCG/InterQual criteria is essential for success in this position.- The successful candidate will be willing to work onsite and on night shift...
-
Clinical Nurse Appeals Specialist
2 weeks ago
Manila, National Capital Region, Philippines Dencom Consultanacy Full timeJob Title: Clinical Nurse Appeals WriterWe are seeking a skilled Clinical Nurse Appeals Writer to join our team at Dencom Consultancy.Key Responsibilities:Developing and writing high-quality appeals for denied claimsCollaborating with clinical teams to ensure accurate and effective appealsStaying up-to-date with MCG/InterQual criteria and industry...
-
Clinical Nurse Appeals Specialist
2 weeks ago
Manila, National Capital Region, Philippines Dencom Consultanacy Full timeJob RequirementsWe are seeking a skilled Clinical Nurse Appeals Writer to join our team at Dencom Consultancy.Key Responsibilities:Collaborate with healthcare professionals to develop effective appeals strategies.Write compelling appeals documents that showcase clinical expertise and knowledge of MCG/InterQual criteria.Work closely with onsite teams to...
-
Healthcare Process Trainer
2 weeks ago
Manila, National Capital Region, Philippines Viventis Search Asia Full timeExperienced process trainer sought to develop and implement clinical capability development trainings for operations frontline staff in a healthcare vertical account. Key responsibilities include conducting new hire interviews, providing feedback, and delivering training programs to meet operational requirements.Key Responsibilities:Develop and implement...
-
Executive Assistant
2 weeks ago
Manila, National Capital Region, Philippines Virtual Superstars Full timeJob OverviewVirtual Superstars is seeking a highly skilled Executive Assistant to join our team. As a key member of our operations team, you will play a crucial role in ensuring the smooth operation of our client's clinics.Key Responsibilities:Provide high-level administrative support to our clientsManage billing follow-ups and ensure timely paymentsAssist...
-
Clinical Nurse Appeals Specialist
2 weeks ago
Manila, National Capital Region, Philippines Dencom Consultanacy Full timeJob Title: Clinical Nurse Appeals WriterJob Summary:We are seeking a skilled Clinical Nurse Appeals Writer to join our team at Dencom Consultancy. As a key member of our appeals team, you will be responsible for writing high-quality appeals for denied claims, utilizing your expertise in MCG/InterQual criteria.Key Responsibilities:Develop and write...
-
Sales Virtual Assistant
2 hours ago
Manila, National Capital Region, Philippines My Virtual-Assistant Full timeSales Virtual Assistant Job DescriptionWe are seeking a highly skilled and results-driven Sales Virtual Assistant to drive sales growth and lead our sales team to success. As a Sales Virtual Assistant, you will be responsible for overseeing day-to-day sales operations, developing and implementing effective sales strategies, and ensuring exceptional customer...
-
RN- Clinical Informaticist
1 week ago
Manila, National Capital Region, Philippines IFIVE INC. Full timeCompetitive compensation and benefits packages, continuous professional development and learning opportunities, and regular engagement activities and events.We are looking for an RN-Clinical Informaticist to work for our global clients and immerse in our rich and diverse company culture. The role involves providing leadership and collaborating with nursing...
-
AR Executive PHRN
1 month ago
Manila, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full timeJob Duties and Responsibilities· Prioritize incoming authorization and referral requests according to queue urgency· Review patient's clinical and chart documentation related to the service submitted by the provider's office· Obtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following...
PHRN | Clinical Auth, UMR, Leadership | Virtual Process
2 months ago
AVAILABLE POSITIONS
Utilization 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 experience as a Clinical Services Team LeadClinical Strategy Manager - 5+ years of experience in clinical settings, clinical administrative services, and revenue cycle, of which a minimum of 2 years should be in an Assistant Manager and above role.Senior Leadership Role for Clinical Services - At least five years of supervisory/managerial experience working in Clinical services, such as Clinical Authorization, Utilization Management/Review, and Clinical Denials & Appeals.What We Offer
Excellent Company CultureDay 1 Health Insurance, plus free dependentFixed schedule and fixed weekends offNon-Toxic | Blended Non-Voice Account Employee Referral IncentiveOpportunity for promotionFree Training as Clinical Authorization Specialist About UsWe are an analytics-driven, technology-enabled revenue cycle management company that alleviates financial and administrative burdens on healthcare providers by providing billing, coding, automation and analytics services.