PHRN - Ortigas (Work Onsite)

7 days ago


Pasig, Philippines The Referrers Full time

- Provide support to the clinical team and client team.- Determine customer eligibility by reviewing contractual language and medical documentation.- Assess medical appropriateness of claims submitted and adjust claims as needed.- Pay all covered claims accurately and timely.- Manage both new claims and open claims equally and maintains decision turnaround times.Required Skills:- With active license- At least 6 months Hospital experience- 1 year prior authorization experience – negotiable: Healthcare experience- Handling payer side/ provider side/ handling scheduling or any inbound process- Good typing skills.- Scope of work inbound or outbound calls or pre-reg- patients that are scheduled outpatient imaging, update insurance, provide prep/ patient instructions.Additional Notes:- This position will be working with world’s largest medical coding staff.Working Set-up: Onsite.Work Schedule: Mondays to Fridays.Salary Range: P40,000- P50,000



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