PHRN Quality Auditor

4 weeks ago

Taguig, Philippines Nezda Technologies, Inc. Full time

Position Title PHRN Quality Auditor - Prior/Clinical Authorization Location McKinley, Taguig Work Set-up Full Onsite | Night Shift Type Direct Hire | Permanent role Qualifications Must hold an active PHRN license With relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment Open for Associate/CSR with 4+ years of specialized experience in Clinical Authorization, Prior Authorization or Utilization Review is required (with PHRN active license). Demonstrated job stability, with a consistent employment history and minimal transitions Brief Job Description Completing QA audits Participating in client calls to capture process updates and monitoring compliance. Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements #J-18808-Ljbffr

  • PHRN Quality Auditor

    2 weeks ago

    Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱300,000 - ₱600,000 per year

    Position Title: PHRN Quality Auditor - Prior/Clinical AuthorizationLocation: McKinley, TaguigWork Set-up: Full Onsite | Night ShiftDirect Hire | Permanent role Qualifications: Must hold an active PHRN license With relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment Open for Associate/CSR with 4+ years of...

  • Prior Authorization Nurse

    3 weeks ago

    Taguig, Philippines HRTX Full time

    About the job Prior Authorization Nurse - PHRN (QA) Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder) Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review Relevant experience as a Quality Auditor in Clinical Services within a...

  • PHRN - Utilization Review / Clinical Authorization

    3 weeks ago

    Taguig, Philippines HRTX Full time

    About the job PHRN - Utilization Review / Clinical Authorization We're Hiring: PHRN Quality Auditor Clinical Services Location: Onsite, Mckinley, TaguigSchedule: Night Shift | Monday to FridayHiring Target Date: Preferably by July 21, 2025 Salary Range: Up to 50k Qualifications Must hold an active PHRN license (Not a USRN holder)Prior experience as a Quality...

  • Prior Authorization Specialist

    3 weeks ago

    Taguig, Philippines HRTX Full time

    Prior Authorization Specialist (PHRN - Registered Nurse) Job openings: Prior Authorization Specialist (PHRN - Registered Nurse) About the job Prior Authorization Specialist (PHRN - Registered Nurse) We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining...

  • Quality Auditor

    2 weeks ago

    Taguig, National Capital Region, Philippines Spanex IT Services Full time ₱900,000 - ₱1,200,000 per year

    Quality Auditor - Medical Coding SurgerySurgical Coding Expert (CPT 1-6 series) with deep knowledge of Implant Billing (Cardiac, Ortho, Neuro, etc.).Skilled in coding Endoscopies and L&D (Vaginal/C-Section).Experience with Charge Audits for implants, supplies (HCPCS), meds, and Recovery Room (Rev 710).Proficient in 1&I (Infusion/Injection/Hydration),...

  • Pharmacovigilance - PHRN & Pharmacists

    2 weeks ago

    Taguig, National Capital Region, Philippines Methealth International Full time ₱600,000 - ₱1,200,000 per year

    About the role Join Methealth as a PHRN (Philippine Registered Nurse) and enjoy a competitive salary and incentivesWhat you'll be doing (training provided):Monitor and assess drug safety / adverse event reports (ICSRs).Perform case processing: intake, triage, follow-up, and documentation.Ensure compliance with regulatory standards (local/international)...

  • Inpatient Coding Quality Auditor

    3 weeks ago

    Taguig, Philippines Conifer Health Solutions Full time

    Inpatient Coding Quality Auditor Conifer Health Solutions Job Description The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient, and profee claims, ICD-10-CM/PCS, and/or CPT codes...

  • Inpatient Coding Quality Auditor

    3 weeks ago

    Taguig, Philippines Tenet Global Business Center, Inc. Full time

    Job Description The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested to ensure hospital inpatient, outpatient, and profee claims, ICD‑10‑CM/PCS, and/or CPT codes were coded and billed in accordance with nationally...

  • Outpatient Coding Quality Auditor

    4 weeks ago

    Taguig, Philippines Conifer Health Solutions Full time

    2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Conifer Health Solutions. The Auditor, Coding Quality conducts Initial Coding Quality Reviews (IQRs), Monthly Coding Quality Reviews (MQRs), Focused Quality Audits, and other ad hoc coding quality audits as requested...

  • Clinical Documentation Auditor

    2 weeks ago

    Taguig, Philippines MicroSourcing Full time

    Join to apply for the Clinical Documentation Auditor role at MicroSourcing . Discover your 100% YOU with MicroSourcing! Position: Clinical Documentation Auditor Location: Taguig Work setup & shift: Onsite | Night shift Why join MicroSourcing? You'll Have Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more...