
Clinical Appeal Specialist
3 weeks ago
ECLARO – Quezon City, National Capital Region, Philippines
Clinical Appeal Specialist (PHRN) for our BPO client in Bridgetowne.
If you're interested, please send your resume to
Qualifications- Must be an active PHRN license holder
- At least 1 year of clinical experience (hospital, clinic, or managed care setting)
- Minimum of 6 months of clinical process outsourcing experience, with strong clinical knowledge—especially in medical necessity reviews, interpretation of clinical documentation, and a solid understanding of healthcare insurance processes, appeals, grievances, and utilization management
- Willing to work onsite in Bridgetowne and open to a shifting schedule
- Seniority level: Associate
- Employment type: Full-time
- Job function: Health Care Provider
- Industries: Staffing and Recruiting, Hospitals and Health Care, and Health and Human Services
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