PHRN with Prior Authorization Review Experience in BPO 50k

#1 PH Workforce Delivering to the USMedCore Solutions, the healthcare division of Bizforce, is seeking a skilled Prior Authorization Specialist to join our growing team. The Prior Authorization Specialist we be primarily responsible for obtaining all types of prior authorizations. These prior authorizations will include biologic medications, procedures,...

PHRN Quality Analyst (QA)Location: Ortigas (Onsite)Shift: Night ShiftSalary: PHP 50,000–55,000 | Can Start ASAPQualifications:Must be a Registered Nurse (PHRN) with a valid PRC license1–2 years of experience as a Quality Analyst (QA) in the BPO/Healthcare industryStrong background in quality monitoring and compliance in healthcare accountsWilling to work...

Position: USRN – MCG Inpatient Concurrent ReviewerWork Setup: Temporary Work from HomeShift: Night ShiftWork Location: OrtigasQualifications:Valid USRN and PHRN licensesAt least 1 year of BPO experience handling MCG Inpatient Concurrent casesMinimum 3 years of bedside hospital experienceWilling to work night shift and report onsite in Ortigas when...

Technical Training Manager – PHRNLocation: Ortigas, Manila (Onsite)Shift: Night ShiftSalary: PHP 90,000–100,000 packageStart Date: ASAPHeadcount: 1Qualifications (Strictly Required):Must be a Registered Nurse (PHRN) with an active PRC licenseMinimum of 1 year experience as a Training Manager in a BPO set-upAt least 1 year experience in a Clinical...

Job Title: Operations Director – Healthcare BPOLocation: Onsite (Quezon City)Work Schedule: Night ShiftSalary Package: ₱200,000 – ₱220,000 (Package)Start Date: ASAPJob Summary:We are seeking an experienced and results-driven Operations Director to lead and oversee our Healthcare BPO operations. The ideal candidate will have 5 to 8 years of proven...

USRN with InterQual and UMR ExperienceWork Onsite in BGC or Quezon CityImmediate Hiring | Competitive SalaryPosition: USRN (US Registered Nurse)Work Setup: OnsiteLocation: BGC or Quezon CitySchedule: Night Shift (Non-Negotiable)Salary Range: PHP 65,000 – 80,000/monthQualifications:Active USRN and PHRN licenses (both required)3 to 4 years of experience with...

OverviewNo BPO Experience Required - Shipping Clerk (Encoder) - SHS/HS Ac at Metacom Careers. On-site interview, 1-day hiring process, and same-day job offer. No work-from-home or virtual interview.Job SummaryJoin as a Call Center Agent and be the first point of contact for customers. Handle inquiries, resolve issues, and provide excellent service to ensure...

Overview6-Months BPO Experience - Insurance Account - SHS/HS Accepted – Metacom CareersJoin to apply for the 6-Months BPO Experience - Insurance Account - SHS/HS Accepted role at Metacom Careers.ON-SITE INTERVIEW 1-DAY HIRING PROCESS SAME-DAY JOB OFFER NO WORK-FROM-HOME NO VIRTUAL INTERVIEWJob SummaryJoin as a Call Center Agent and be the first point of...

We are seeking a detail-oriented and experienced Medical Coder to support our billing operations. This role involves inputting accurate diagnoses and CPT codes to prepare claims, as well as assisting with prior authorizations. The ideal candidate is comfortable working independently, has strong communication skills, and is available for occasional check-ins...

OverviewJoin to apply for the USRN BPO - Utilization Review Supervisor role at NTT DATA North AmericaResponsibilitiesManages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication processWorks within general policies and management guidance, independently determining approach...