PHRN Utilization Reviewer

What we offer Salary Package: PHP 50,000 + Sign-On Bonus: PHP 50,000 Work Setup: Onsite at Bridgetowne, Quezon City Schedule: Shifting Schedule Essential Duties and Responsibilities Accurately interpret member benefits and managed care products, and guide members to appropriate providers, programs, or community resources. Collaborate with medical directors...

**What we offer: Salary Package: PHP 50,000 +**Sign-On Bonus: PHP 50,000Work Setup: Onsite at Bridgetowne, Quezon CitySchedule: Shifting ScheduleEssential Duties and ResponsibilitiesAccurately interpret member benefits and managed care products, and guide members to appropriate providers, programs, or community resources.Collaborate with medical directors...

PHRN Care Management Associate A PHRN Back Office Specialist supports healthcare operations by performing administrative and clinical tasks in a non-voice (back office) setting. This role is ideal for licensed Philippine Registered Nurses (PHRNs) looking to apply their medical knowledge in a corporate or BPO environment. Review and process medical...

DE -PHRN Claims Management Associate Join to apply for the DE -PHRN Claims Management Associate role at myGwork - LGBTQ+ Business Community This job is with Accenture, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Responsibilities Manages incoming...

Description A PHRN Back Office Specialist supports healthcare operations by performing administrative and clinical tasks in a non-voice (back office) setting. This role is ideal for licensed Philippine Registered Nurses (PHRNs) looking to apply their medical knowledge in a corporate or BPO environment. Review and process medical records, charts, and...

Salary: PHRN – Up to 47K RPH – Up to 33K Responsibilities: - Handle healthcare-related inquiries and provide accurate information to clients or patients. - Review and process medical or pharmacy-related documentation. - Ensure compliance with healthcare policies and procedures. - Deliver quality customer service while maintaining confidentiality and...

Work Setup: Onsite | Iloilo CityLine of Business: NCLEX AcademyTarget Start Date: December 18, 2025Schedule: ShiftingSalary Structure₱24,791 – Basic Salary₱1,500 – Transportation Allowance₱2,800 –_ Non-Taxable Monthly Allowance_Position OverviewJoin the NCLEX Academy as a PHRN / Nurse Trainee, where you will undergo structured training to prepare...

Role Overview: We are looking for a detail-oriented Utilization Review Coordinator/Medical Management Resolution Specialist to join our team. The ideal candidate will have experience in medical coding within the US healthcare system, whether certified or non-certified, and a strong background in medical management resolution. Key Responsibilities Collect,...

Qualifications: • With 1-year clinical experience • With Active PRC License • Willing to work onsite in Pasay (MOA) and in night shift Job Description: • Handle patient or member inquiries via phone, email, or chat with professionalism and empathy. • Use nursing knowledge (PHRN scope) to gather clinical...

Responsibilities Review medical records related to insurance claims. Extract and summarize essential medical information into structured abstracts. Identify and highlight relevant diagnoses, procedures, and treatments. Maintain high levels of accuracy and data integrity. Ensure all documentation complies with legal, regulatory, and internal standards....