PHRN Quality Auditor
3 days ago
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 yearPosition 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...
-
PHRN - Prior Authorization
2 weeks ago
Taguig, Philippines HRTX Full timeAbout the job PHRN - Prior Authorization Quality Auditor hiring Clinical Authorization Process.Onsite, Night Shift, Mon-Friday Qualifications Must hold an active PHRN license (not a USRN license holder) Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in...
-
Prior Authorization Nurse
3 weeks ago
Taguig, Philippines HRTX Full timePosition: 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 ReviewRelevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not...
-
Prior Authorization Nurse
3 weeks ago
Taguig, Philippines HRTX Full timePosition: 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 healthcare BPO environment (preferred only, not...
-
Taguig, Philippines HRTX Full timeWe're Hiring: PHRN Quality Auditor Clinical Services Location: Onsite, Mckinley, Taguig Schedule: Night Shift | Monday to Friday Hiring 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 Auditor in a healthcare BPO clinical setting Alternatively, 4...
-
Taguig, Philippines HRTX Full timeWe'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 Auditor in a healthcare BPO clinical setting Alternatively, 4 to...
-
PHRN Quality Analyst
14 hours ago
Taguig, National Capital Region, Philippines Access Healthcare Full time ₱480,000 - ₱540,000 per yearPHRN – Quality AnalystWe are currently looking for Registered Nurse Quality Analyst to be part of our ClinicalteamThe Quality Analyst will be responsible for monitoring and evaluating the quality ofcustomer service interactions, identifying areas for improvement, and ensuringcompliance with policies and procedures. The successful candidate must be a...
-
PHRN - Prior Authorization
3 weeks ago
Taguig, Philippines HRTX Full timeQuality Auditor hiring Clinical Authorization Process. Onsite, Night Shift, Mon-Friday Qualifications Must hold an active PHRN license (not a USRN license holder)Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization...
-
PHRN - Prior Authorization
3 weeks ago
Taguig, Philippines HRTX Full timeQuality Auditor hiring Clinical Authorization Process. Onsite, Night Shift, Mon-Friday Qualifications Must hold an active PHRN license (not a USRN license holder) Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization...
-
Quality Auditor
1 week ago
Taguig, National Capital Region, Philippines Spanex IT Services Full time ₱900,000 - ₱1,200,000 per yearQuality 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),...