PHRN - Ortigas (Work Onsite)

3 weeks ago


Ortigas, Philippines The Referrers Full time
- Provide support to the clinical team and client team.
- Determine customer eligibility by reviewing contractual language and medical documentation.
- Assess medical appropriateness of claims submitted and adjust claims as needed.
- Pay all covered claims accurately and timely.
- Manage both new claims and open claims equally and maintains decision turnaround times.

Required Skills:
- With active license
- At least 6 months Hospital experience
- 1 year prior authorization experience – negotiable: Healthcare experience
- Handling payer side/ provider side/ handling scheduling or any inbound process
- Good typing skills.
- Scope of work inbound or outbound calls or pre-reg- patients that are scheduled outpatient imaging, update insurance, provide prep/ patient instructions.

Additional Notes:
- This position will be working with world’s largest medical coding staff.

Working Set-up: Onsite.

Work Schedule: Mondays to Fridays.

Salary Range: P40,000- P50,000
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