PHRN Prior Authorization Review Experience

PHRN – Prior Authorization Review Experience Location: Quezon City (Bridgetowne) or Ortigas – Onsite Schedule: Night Shift Start Date: Within August Salary: Php 45,000 – Php 50,000 per month (based on experience) Qualifications: Must have a valid PHRN license Minimum of 1 year experience in Prior Authorization Review or UMR With bedside/hospital...

QUALIFICATIONS:Graduate of any Medical Allied or some degree in college with 1-2 yrs of experience in AuthorizationActive PHRN licenseSkills and Knowledge:Medical Terminology: Understanding clinical terminology.Insurance Guidelines: Familiarity with insurance carrier guidelines.State Regulations: Knowledge of state guidelines related to referrals and prior...

Job PurposeA Precertification Coordinator is responsible for obtaining prior authorizations and referrals on behalf of the provider's office for Cardiac Cath, Cardiac EP,for Outpatient and Inpatient  procedures,Job Duties and Responsibilities· Prioritize incoming authorization and referral requests according to queue urgency· Review patient's clinical and...

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:PHRN with active license - must have 1 year Prior Authorization experience OR 1 year BPO Healthcare experienceWilling to be assigned pure onsiteOffer:Virtual HiringBlended AccountUp to 50,000 Salary50,000 Signing BonusWeekends Off10% Night DifferentialHMO + dependent

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...

PHRN QUALITY ANALYSTActive PHRN license with 2 years of QA experience in a BPO setup (Healthcare account)onsite in Ortigas50, , % night diffJob Types: Full-time, Permanent, Fresh graduatePay: Php50, Php55,000.00 per monthExperience:QA: 2 years (Required)healthcare: 2 years (Required)License/Certification:PHRN (Required)Work Location: In person

PHRN Operations ManagerMust be PHRNAt least 5 years Operations Manager Experience in a BPO Set Up (US Healthcare Account)Must be amenable to Onsite reporting in OrtigasNightshift scheduleJob Types: Full-time, Permanent, Fresh graduatePay: Php100, Php145,000.00 per monthExperience:QA: 2 years (Required)healthcare: 2 years (Required)License/Certification:PHRN...

Qualifications:Active PHRN licenseAt least 1 year Prior Authorization or Healthcare BPO experience, or at least 1 year Hospital experienceWilling to work onsite in OrtigasAmenable to night shift scheduleCan start immediately

Job Duties and ResponsibilitiesPrioritize accounts according to the assignment assigned.Review patient clinical and chart documentation for scheduled services by the provider's office.Submit faxes with the completed Authorization Request form to the office of the Ordering Provider, and subsequently completing the Pre-Registration status.Analysis of potential...