Clinical Nurse Auditor

1 month ago


Pasig, Philippines Visaya Knowledge Process Outsourcing Full time
"Key Responsibilities
Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client
Review medical records to validate what authorization is required
Utilize Savista’s client’s host system to document case and updated account statuses when applicable
Utilize the state or payor portal to check authorization statuses"

Qualification

Education: Bachelor's Degree in Nursing
License / Certification: PH Registered Nurse
Experience: Clinical authorizations, medical records and customer service
Language: Fluent English verbal and written communication
Special Skills: Microsoft Office

  • Pasig, National Capital Region, Philippines Visaya KPO Full time

    Job Title: Senior Clinical Nurse Auditor SpecialistWe are seeking a highly skilled Senior Clinical Nurse Auditor Specialist to join our team at Visaya KPO.About the RoleIn this critical role, you will work closely with our Eligibility Enrollment Specialist to obtain referrals from Savista's client. Your expertise in medical records and authorization...

  • Clinical Nurse Auditor

    4 months ago


    Pasig, Philippines Visaya KPO Full time

    Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization...

  • Clinical Nurse Auditor

    4 months ago


    Pasig, Philippines Visaya KPO Full time

    Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization...


  • Pasig, Philippines Visaya Knowledge Process Outsourcing Full time

    "Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize the state or payor portal to check authorization statuses" ...

  • Clinical Nurse Auditor

    4 months ago


    Pasig City, Philippines Visaya KPO Full time

    Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize state or payor portal to check authorization statusesEducation:...


  • Pasig City, Philippines Visaya Knowledge Process Outsourcing Full time

    "Key Responsibilities Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client Review medical records to validate what authorization is required Utilize Savista’s client’s host system to document case and updated account statuses when applicable Utilize the state or payor portal to check authorization statuses"...


  • Cebu and Pasig, Philippines Solid Lyndelle Manpower Services Inc. Full time

    Clinical Audit Expert Job OpportunityAt Solid Lyndelle Manpower Services Inc., we are seeking a skilled Clinical Auditor to join our team. This role involves performing regular audits of clinical practices, patient records, and healthcare processes.Responsibilities:Conduct thorough audits to ensure compliance with regulatory requirements and identify areas...


  • Pasig, National Capital Region, Philippines Visaya KPO Full time

    Job Description:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya KPO. In this role, you will work closely with the Eligibility Enrollment Specialist to obtain referrals from our clients and review medical records to validate authorization requirements.You will utilize Savista's client host system to document case and updated account...

  • Clinical Auditor

    5 months ago


    Pasig, Philippines Gratitude Philippines Full time

    Job DescriptionResponsibilities:Perform regular audits of clinical practices, patient records, and healthcare processes.Analyze audit findings and data to identify trends, patterns, and areas of risk.Monitor the effectiveness of implemented changes and provide ongoing support.Ensure that the organization complies with all relevant regulatory...

  • Clinical Auditor

    5 months ago


    Cebu and Pasig, Philippines Gratitude Philippines Full time

    Job Description Responsibilities: Perform regular audits of clinical practices, patient records, and healthcare processes. Analyze audit findings and data to identify trends, patterns, and areas of risk. Monitor the effectiveness of implemented changes and provide ongoing support. Ensure that the organization complies with all relevant regulatory...

  • Clinical Auditor

    5 months ago


    Cebu and Pasig, Philippines Gratitude Philippines Full time

    Job Description Responsibilities: Perform regular audits of clinical practices, patient records, and healthcare processes. Analyze audit findings and data to identify trends, patterns, and areas of risk. Monitor the effectiveness of implemented changes and provide ongoing support. Ensure that the organization complies with all relevant regulatory...


  • Pasig, National Capital Region, Philippines Gratitude Philippines Full time

    We are seeking a highly skilled Clinical Auditor to join our team at Gratitude Philippines.About the RoleThis is a key position that will involve regular audits of clinical practices, patient records, and healthcare processes to ensure compliance with regulatory requirements. The ideal candidate will have strong analytical skills and be able to identify...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

    Job Title: Healthcare Authorization SpecialistAbout the Job:We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our authorization team, you will be responsible for working closely with our Eligibility Enrollment Specialists to obtain referrals from clients, reviewing medical records to...


  • Pasig, National Capital Region, Philippines Solid Lyndelle Manpower Services Inc. Full time

    **Job Overview**Solid Lyndelle Manpower Services Inc. is seeking an experienced Clinical Operations Specialist to join our team.About the Role:We are looking for a highly skilled Clinical Operations Specialist to work on-site, Monday to Friday. As a Clinical Operations Specialist, you will be responsible for performing regular audits of clinical practices,...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

    Visaya Knowledge Process Outsourcing is seeking a skilled Clinical Nurse Auditor to join our team. This role involves working closely with the Eligibility Enrollment Specialist to secure referrals from Savista's clients.The ideal candidate will have a strong understanding of clinical authorizations, medical records, and customer service skills. A Bachelor's...


  • Cebu and Pasig, Philippines Gratitude Philippines Full time

    Job Title: Clinical Review SpecialistWe are seeking a skilled and detail-oriented Clinical Review Specialist to join our team at Gratitude Philippines. Salary: $60,000 - $80,000 per annum, depending on experience.About the Role:This is an exciting opportunity for a Registered Nurse with CIC/CCS certification to work as a Clinical Review Specialist. The...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

    Job DescriptionWe are seeking a skilled and detail-oriented Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare compliance team, you will play a critical role in ensuring the accuracy and integrity of medical records.Key Responsibilities:Collaborate with Eligibility Enrollment Specialists to...


  • Pasig City, Philippines J-K Network Services Full time

    A well-known Finance company that is owned by a Japanese. It was built since 1954. they provide guarantee services to your personal and housing loans, credits and helps consumers to their medium to long term business strategies. Position: Occupational Health Nurse (Weekend Off, Dayshift) Salary: Php25,000 Industry: Financial Company Location: Pasig...


  • Pasig City, Philippines J-K Network Services Full time

    A well-known Finance company that is owned by a Japanese. It was built since 1954. they provide guarantee services to your personal and housing loans, credits and helps consumers to their medium to long term business strategies. Position: Occupational Health Nurse (Weekend Off, Dayshift) Salary: Php25,000 Industry: Financial Company Location: Pasig...


  • Pasig, National Capital Region, Philippines J-K Network Services Full time

    Job Title: Corporate Occupational Health SpecialistAbout J-K Network Services: A well-established Finance company with a rich history dating back to 1954.Role Overview: As a key member of our team, you will be responsible for promoting and ensuring the health and wellbeing of employees. Your role will involve managing our on-site clinic, providing first aid...