Prior Authorization Nurse
4 weeks ago
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 healthcare BPO environment (preferred only, not required)
- Strong familiarity with EPIC , MCG , or InterQual guidelines required
- Amenable to working onsite in McKinley, Taguig
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PHRN - Prior Authorization Nurse
2 weeks ago
Taguig, National Capital Region, Philippines AUMTREND PH INC Full time ₱780,000 per yearPosition SummaryThe Prior Authorization Nurse (PHRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review clinical documentation to ensure accuracy and medical necessity, complete required payer forms, and work closely with administrative support staff to...
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Prior Authorization Specialist
4 weeks ago
Taguig, Philippines HRTX Full timePrior 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...
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Prior Authorization Nurse
3 weeks ago
Taguig, Philippines HR TechX Corp. Full timeOverview Join to apply for the Prior Authorization Nurse - PHRN (QA) role at HR TechX Corp. 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...
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Prior Authorization Specialist
3 weeks ago
Taguig, Philippines HR TechX Corp. Full timePrior 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 prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between...
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PH USRN Authorization Nurse
2 weeks ago
Taguig, Philippines Gratitude Inc Full timeOverview Job title: PH USRN Authorization Nurse Work set up: Onsite in BGC Taguig Work shift: Night shift Budget: 40K - 60K package (4-6 yrs) Headcount: 1 Job Description The Prior Authorization Nurse (USRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review...
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Prior Authorization Nurse
1 week 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...
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Prior Authorization Nurse
1 week 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...
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Prior Authorization Specialist
1 week ago
Taguig, Philippines HRTX Full timeWe are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between healthcare providers, patients, and insurance companies...
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HIRING: PHRN- Prior Authorizations
7 days ago
Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱900,000 - ₱1,200,000 per yearAbout the role Nezda Technologies, Inc.' is seeking a dedicated and experienced PHRN - Prior Authorizations to join our dynamic team in Taguig City Metro Manila. In this full-time position, you will play a crucial role in managing the prior authorization process, ensuring timely and efficient approvals for our healthcare clients.What you'll be...
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Prior Authorization Specialist
1 week ago
Taguig, Philippines HRTX Full timeWe are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison between healthcare providers, patients, and insurance companies...