
USRN BPO
8 hours ago
Overview
Join to apply for the USRN BPO - Utilization Review Supervisor role at NTT DATA North America
Responsibilities- Manages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication process
- Works within general policies and management guidance, independently determining approach to managing daily operations.
- Provides guidance and technical advice, becoming actively involved as necessary.
- Provides leadership of assigned departments through subordinate leaders.
- Ensures the highest level of support, technical detail and communications is provided in an efficient and courteous manner to clients.
- Takes lead position in initiating client relationships, determining project scope and making executive presentations.
- Typically requires 6-10 years relevant experience
- Should be flexible work in night shift
- Includes 3-5 years managerial/ leadership experience.
- Advanced influencing and communication skills.
- Advanced client service skills and leadership capabilities.
- Advanced knowledge, understanding and application of project management principles and methodologies. Models excellent analytical / problem solving skills.
- Excellent organizational and time management skills.
- Ability to develop comprehensive and complex operational and strategic plans
-
USRN BPO
2 weeks ago
Manila, National Capital Region, Philippines NTT DATA North America Full timeOverviewJoin to apply for the USRN BPO - Utilization Review Supervisor role at NTT DATA North AmericaResponsibilitiesManages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication processWorks within general policies and management guidance, independently determining approach...
-
USRN-Senior Operations Manager
2 days ago
manila, Philippines Gap Solution Recurrent Firm Full timeSenior Operations Manager – USRN (BPO Healthcare Account) Location: NCR, Philippines (Onsite) Account: UMR Healthcare Compensation: Salary will be based on your most recent paycheck Qualifications: • 3 to 5 years of experience as a Senior Operations Manager in a BPO Healthcare account • Valid PHRN and USRN licenses • Strong leadership background...
-
USRN Licensed Team Leader
2 days ago
manila, Philippines GGAS Services Full timeUSRN Licensed Team Leader (TL) – BPO Healthcare UMR Account Location: Onsite – ortiags Salary: Up to ₱90,000 + ₱100,000 Bonus Job Type: Full-Time, Night Shift Job Summary: We are looking for a highly experienced and motivated USRN Licensed Team Leader (TL) with a strong background in BPO, specifically in Healthcare UMR Accounts. The successful...
-
manila, Philippines GGIS Services Full timeUSRN Candidate Profile – For Immediate Consideration Position: USRN – MCG Account Expected Salary: PHP 89,000 to PHP 90,000 Work Location: Onsite – Ortigas Availability: Can start ASAP Shift: Amenable to graveyard shift Licenses: Valid PHRN and USRN licenses Experience: 1 year MCG experience in a BPO setting (concurrent) 3 years bedside...
-
USRN Trainer
2 days ago
Manila, Philippines GGAS Services Full timeUSRN Trainer MANILA • Active USRN License of any state (NY preferred) • Minimum 1-2 years’ experience in a US Healthcare account (Utilization Management Review and Clinical Appeals) • Experience with utilization of Interqual/MCG Guidelines • Exposure to Inpatient/Concurrent reviews • Night shift schedule With at least 1 year experience as a...
-
Manila, National Capital Region, Philippines Private Advertiser Full time ₱80,000 - ₱95,000 per yearPosition: USRN – MCG Inpatient Concurrent ReviewerWork Setup: Temporary Work from HomeShift: Night ShiftWork Location: OrtigasQualifications:Valid USRN and PHRN licensesAt least 1 year of BPO experience handling MCG Inpatient Concurrent casesMinimum 3 years of bedside hospital experienceWilling to work night shift and report onsite in Ortigas when...
-
USRN MCG Inpatient Concurrent Reviewer 95k
2 days ago
Manila, Philippines Gap Solution Recurrent Firm Full timePosition: USRN – MCG Inpatient Concurrent Reviewer Work Setup: Temporary Work from Home Shift: Night Shift Work Location: Ortigas Qualifications: Valid USRN and PHRN licenses At least 1 year of BPO experience handling MCG Inpatient Concurrent cases Minimum 3 years of bedside hospital experience Willing to work night shift and report onsite in Ortigas...
-
Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱80,000 per yearWe're looking for skilled Utilization Review Nurses (PHRN-USRN) to join our dynamic team and ensure medical necessity, cost-efficiency, and compliance with health plan policies and regulatory standards. QualificationsMust have active PHRN or USRN licenseMust have 1 year of experience in utilization review in a healthcare BPO set upExcellent verbal and...
-
USRN Training Specialist
8 hours ago
, Metro Manila, Philippines Omega Healthcare Management Services Full time4 days ago Be among the first 25 applicants Direct message the job poster from Omega Healthcare Management Services Primary Duties and Responsibilities: · Ensure that training and assessments happen as per statutory requirements. · Give feedback and coach trainees on key job capabilities. · Update and develop content as per client and business...
-
Manila, National Capital Region, Philippines Aces Jobs PH Full time ₱35,000 - ₱43,000 per yearJob Description Philippines-based USRNs can now work in the Philippines and secure a high paying job that offers career growth without being away from their family. All Hires will receive Signing Bonus of 100,000Provide excellent healthcare services to US based patients/health insurance cardholders Assists patients with questions regarding their medical...