USRN

23 hours ago


Metro Manila Philippines Nezda Global Full time

Overview

Nezda Technologies Inc. is currently looking for USRN.

You may earn up to P 68,000 and get a chance to have P 100,000 Sign on Bonus.

Qualifications
  • Active PHRN and USRN License (mainland state).
  • At least 1 year hospital experience.
Job Description
  • Conduct Non-Clinical Research to Support Determinations.
  • Determine that the case is assigned to the appropriate team and health plan for review (e.g., Medicare, Medicaid, Commercial, Dual Special Needs Plan).
  • Validate that cases/requests for services require additional research.
  • Review Existing Clinical Documentation.
  • Identify and validate usage of non-standard codes, as necessary (e.g., generic codes).
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