PHRN Quality Auditor

3 days 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


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