PHRN Appeals Writer

If interested, you may now apply using this Workday link below: About usR1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. R1's proven and scalable operating models seamlessly complement a healthcare organization's infrastructure, quickly driving sustainable...

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...

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...

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...

We are seeking a skilled and creative content writer to join our dynamic team. The ideal candidate should possess a strong passion for writing and storytelling. Job Description: We are looking for a talented content writer to craft compelling, engaging content across various platforms aimed at driving player acquisition, retention, and...

We are seeking a skilled and creative content writer to join our dynamic team. The ideal candidate should possess a strong passion for writing and storytelling. In this full-time, hybrid role, you will craft compelling, engaging content across various platforms aimed at driving player acquisition, retention, and engagement. Duties and...

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...

Job PurposeThe Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Appeal Writer creates appeal letters in support of claim payment.Duties and ResponsibilitiesReview denied insurance claimsReview patients’ medical filesDevelop...

- PHRN/USRN with at least 3 years of clinical experience- Solid appeals writing experience for denied claims (I/OP)- Knowledge of MCG/InterQual criteria- Willingness to work onsite and on night shift schedule.Interested? APPLY NOW!Email your updated resume to athenaluna.dc@gmail.comThank you.

- PHRN/USRN with at least 3 years of clinical experience - Solid appeals writing experience for denied claims (I/OP) - Knowledge of MCG/InterQual criteria - Willingness to work onsite and on night shift schedule. Interested? APPLY NOW! Email your updated resume to athenaluna.dc@gmail.com Thank you.

- PHRN/USRN with at least 3 years of clinical experience - Solid appeals writing experience for denied claims (I/OP) - Knowledge of MCG/InterQual criteria - Willingness to work onsite and on night shift schedule. Interested? APPLY NOW! Email your updated resume to Thank you.

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...

We are seeking a skilled and creative content writer to join our dynamic team. The ideal candidate should possess a strong passion for writing and storytelling. In this full-time, hybrid role, you will craft compelling, engaging content across various platforms aimed at driving player acquisition, retention, and engagement. Duties and...

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...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities :Perform advanced level work related to clinical denial and utilization...