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Clinical Appeals PHRN
2 weeks ago
TASQ Staffing Solutions is looking for a Clinical Appeals PHRN - Quality Analyst in Pasig.License/Certification Requirement: PHRNWork Arrangement: Temp WFH, hybrid or onsiteTraining: Temporary WFHQualifications-Clinical Appeals QA: 1 year (Required)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews.- Understanding of healthcare regulations and complianceQualified applicants can anticipate receiving interview communications within 24-72 business hours, typically through a phone call. In the event that the initial call is missed, a follow-up text or email will be sent to schedule an alternative interview time. Interviews can be conducted using platforms like Zoom, Skype, WhatsApp, or Teams upon request.
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Clinical Appeals PHRN
2 weeks ago
Pasig, Philippines TASQ Staffing Solutions Full timeTASQ Staffing Solutions is looking for a Clinical Appeals PHRN - Quality Analyst in Pasig. License/Certification Requirement: PHRN Work Arrangement: Temp WFH, hybrid or onsite Training: Temporary WFH Qualifications -Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post...
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Clinical Appeals Nurse
2 months ago
Pasig, Philippines RSD Human Resource Management Consultancy Full timeAs a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...
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Clinical Appeals Nurse
2 months ago
Ortigas, Pasig, Philippines RSD Human Resource Management Consultancy Full timeAs a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...
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Clinical Appeals Nurse
2 months ago
Ortigas, Pasig, Philippines RSD Human Resource Management Consultancy Full timeAs a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...
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Clinical Appeals Nurse
2 weeks ago
Ortigas, Pasig, Philippines RSD Human Resource Management Consultancy Full timeAs a Clinical Appeals Nurse, you will be responsible for reviewing denied claims and treatment requests to ensure appropriate reimbursement for medical services rendered. You will analyze medical records, insurance policies, and clinical guidelines to develop compelling appeals for denied claims. Your expertise in healthcare regulations and reimbursement...
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Clinical Appeals
2 weeks ago
Pasig City, Philippines TASQ Staffing Solutions Full timeTemporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions applyNon-negotiable Qualifications:Must have an active PHRN/USRN licenseMust have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs)Knowledgeable in medical terminology, anatomy, and physiologyWith...
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Clinical Appeals
2 weeks ago
Pasig, Philippines TASQ Staffing Solutions Full timeTemporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions apply Non-negotiable Qualifications: Must have an active PHRN/USRN license Must have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs) Knowledgeable in medical terminology, anatomy, and physiology With...
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Clinical Appeals PHRN
2 weeks ago
Pasig, Philippines TASQ Staffing Solutions Full timeLicense: PHRN Experience: - Clinical Appeals in BPO or hospital setting (utilization review acceptable) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews. - Understanding of healthcare regulations...
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Clinical Appeals
2 days ago
Pasig, Philippines TASQ Staffing Solutions Full timeTemporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions apply Non-negotiable Qualifications: Must have an active PHRN/USRN license Must have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs) Knowledgeable in medical terminology, anatomy, and physiology With...
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Clinical Appeals PHRN
2 days ago
Pasig, Philippines TASQ Staffing Solutions Full timeLicense: PHRN Experience: - Clinical Appeals in BPO or hospital setting (utilization review acceptable) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews. - Understanding of healthcare regulations...
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Clinical Appeals PHRN
2 weeks ago
Pasig City, Philippines TASQ Staffing Solutions Full timeLicense: PHRNExperience: - Clinical Appeals in BPO or hospital setting (utilization review acceptable)- Knowledgeable in medical terminology, anatomy, and physiology- With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews.- Understanding of healthcare regulations and...
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Clinical Appeal Audit/QA
2 weeks ago
Ortigas Pasig City, Philippines RSD Human Resources Management Consultancy Full time"Experience: Clinical Appeals QA: 1 year (Required) Knowledgeable in medical terminology, anatomy, and physiology With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews. Understanding of healthcare regulations and compliance"SALARY PACKAGE 42, ,000
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Clinical Appeals USRN
2 weeks ago
Pasig, Philippines TASQ Staffing Solutions Full timeTASQ Staffing Solutions is looking for a Clinical Appeals USRN - Quality Analyst in Pasig. License/Certification Requirement: USRN Shift Schedule: PM Work Arrangement: Temp WFH, hybrid or onsite Training: Temporary WFH Experience: - Clinical Appeals QA: 1 year (Required) - Knowledgeable in medical terminology, anatomy, and physiology - With experience in...
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Clinical Appeals RN
2 weeks ago
Makati City, National Capital Region, Philippines UnitedHealth Group Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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PHRN Team Leader
2 weeks ago
Pasig, National Capital Region, Philippines Cobden & Carter International Full timeTeam Leader ( PHRN with Healthcare background )With active PHRN License;With Healthcare BPO Background experience ;With Clinical Hospital experience ;With UMR experience ;Willing to work onsite at Ortigas Pasig City;Can start ASAPJob Types: Full-time, PermanentPay: Php50, Php60,000.00 per monthBenefits:Health insuranceLife insuranceOpportunities for...
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PHRN - Cebu Site
1 month ago
Cebu City, Philippines Stellar Creations Full timeQUALIFICATIONS:- At least 2 years of clinical experience- Active PRC LicensePHRN - Cebu SiteWe are in need of talents to join us as a PHRN! This offer comes with a competitive salary and exciting benefits.
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PHRN - Cebu Site
4 weeks ago
Cebu City, Philippines Stellar Creations Full timeQUALIFICATIONS:- At least 2 years of clinical experience- Active PRC LicensePHRN - Cebu SiteWe are in need of talents to join us as a PHRN! This offer comes with a competitive salary and exciting benefits.
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PHRN - Up to 35K Salary - Cebu Site
4 weeks ago
Cebu City, Philippines Stellar Creations Full timeQUALIFICATIONS: - At least 2 years of clinical experience - Active PRC License PHRN - Up to 35K Salary - Cebu Site We are in need of talents to join us as a PHRN This offer comes with a competitive salary and exciting benefits.
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PHRN - Up to 35K Salary - Cebu Site
1 month ago
Cebu City, Philippines Stellar Creations Full timeQUALIFICATIONS: - At least 2 years of clinical experience - Active PRC License PHRN - Up to 35K Salary - Cebu Site We are in need of talents to join us as a PHRN This offer comes with a competitive salary and exciting benefits.
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PHRN - Up to 35K Salary - Cebu Site
4 weeks ago
Cebu City, Philippines Stellar Creations Full timeQUALIFICATIONS: - At least 2 years of clinical experience - Active PRC License PHRN - Up to 35K Salary - Cebu Site We are in need of talents to join us as a PHRN This offer comes with a competitive salary and exciting benefits.