Usrn | Non-Voice

16 hours ago

Cebu City, Philippines Buscojobs Full time

Overview

Taguig, National Capital Region | Stark Asia Solutions, Inc.

Job Description posted today. Job title: USRN. Start Date: July 22 and July 29. Location: Alabang / Taguig / QC. Shift: Graveyard Shift. Rest Day: Sat & Sun / Sun & Mon. Set up: Permanent WFH.

Responsibilities
  • Review and validate clinical documentation and coding for determinations (e.g., Prior Authorization List (PNL/EPAL), state grid, LCDs, NCDs).
  • Make final determinations based on clinical and departmental guidelines.
  • Achieve and maintain established productivity and quality goals.
  • Conduct non-clinical research to support determinations.
  • Review existing clinical documentation and validate diagnostic/procedure/service codes to ensure relevance and accuracy.
  • Support and participate in training and staff development initiatives.
  • Provide non-voice and voice support with 80% non-voice and 20% voice (Outbound).
Qualifications
  • Active/Inactive PHRN License and Active/Inactive US Mainland/Non-Mainland License (license eligibility acceptable in some cases).
  • 3 to 6 months of experience preferred.
  • Bachelor's degree (required).
  • English language proficiency (required).
  • USRN/PHRN license (required).
  • Willingness for Permanent Work From Home; on-site reporting possible for client visits.
  • Open for candidates nationwide in the Philippines; prior license expirations considered acceptable; Northern Marianas Island State License accepted.
Job Details
  • Employment type: Full-time, Permanent.
  • Salary: Php 45,600.00 – Php 55,600.00 per month.
  • Benefits: health insurance, life insurance, paid training, promotion to permanent employee, work from home.
  • Schedule: 8 hour night shift; 80% non-voice, 20% voice (Outbound).
  • 11,600 non-taxable allowances; 100k SOB; payout schedule: 25% after 30 days, 25% after 90 days, 50% after 180 days; 1-year clawback.
  • Retirement plan; medical plan (HMO) from day 1; life and disability insurance; dental, medical, and optical reimbursements; paid time-off benefits; sick leave conversion; annual merit increases and employee recognition.
Note

Now accepts candidates in all parts of the Philippines.

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