PHRN Prior Authorization Review Experience

Job Title: PHRN Team Lead (TL) and PHRN Quality Analyst (QA) Work Setup: 100% Onsite – Night Shift Work Location: Ortigas, Pasig Start Date: ASAP Job Overview We are looking for experienced and licensed Philippine Registered Nurses (PHRNs) to join our healthcare operations team as Team Lead (TL) and Quality Analyst (QA). The ideal candidates must have...

Qualifications:Active PHRN with 1 year BPO experience any healthcare international voice and 1 year hospital experienceActive PHRN with UMR experience InterQual (for other LOB)Good communication skillsCan start ASAPMust be amenable to work ONSITE (Site Location: Ortigas, Pasig)Offer:40,000 – 50,000 salary packagesOthersBy Applying, you give consent to...

URGENT HIRING START ASAP APPLY NOW VIRTUAL PROCESSA. USRN - ORTIGAS, PASIG CITY (TEMPORARY WFH)OFFER AND BENEFITS:UP TO 95,000 SALARY PACKAGE (DEPENDING ON THE EXPERIENCE)HMO, NIGHT DIFFERENTIAL, AND OTHER BENEFITS WILL BE DISCUSS ON THE JOB OFFERMINIMUM QUALIFICATIONS:MUST HAVE ACTIVE USRN AND PHRN LICENSEWITH AT LEAST 1 YEAR INPATIENT CONCURRENT REVIEW MCG...

Position SummaryThe Utilization Review Nurse is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services across inpatient and outpatient settings. This role ensures that care aligns with clinical guidelines, payer requirements, and organizational policies — with a strong emphasis on proficiency in MCG...

Duties & Responsibilities·       Monitor activities of Nurses to assess schedule adherence, accuracy, quality, productivity, timeliness and compliance with job requirements, policies and procedures. Report updates to management.·       Provide basic on-the-job training for direct reports and serve as a resource to address questions related to...

Job Description: Respond to inbound and outbound calls, emails, and chats from patients, members, or providers. Provide accurate information about healthcare plans, coverage, claims, billing, authorizations, and medical services. Handle escalations and resolve customer concerns with empathy, accuracy, and professionalism. Qualifications: College...

The Fund Management Associate is responsible for preparing the regulatory requirements for the company's depository bank applications related to new account openings, updates, and closures across all financial institutions, particularly within Cash Management Services.Prepare and complete the necessary documentation for the company's bank account opening,...

Job Title: Senior Tax Accountant Work Arrangement: On-site Schedule: Regular Work Hours Location: Ortigas, Pasig City Employment Type: Full-time Salary: ₱60,000 – ₱75,000 About the Role: The Senior Tax Officer is responsible for monitoring all tax assessments and tax refunds of the group, ensuring timely submission of required documents and...

Job Overview We are looking for passionate and motivated individuals to join our growing team as Part-Time Financial Advisors. This is a flexible work-from-home opportunity, ideal for those seeking additional income, career growth, and professional development. Full training will be provided — no prior experience required. Responsibilities Provide clients...

Job Title: Part-Time Financial Advisor Company: Prime Summit – Pru Life UK Job Overview We are looking for passionate and motivated individuals to join our growing team as Full-Time Financial Advisors. This is a flexible work-from-home opportunity, ideal for those seeking additional income, career growth, and professional development. Full training will...