Prior Authorization Nurse

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...

Access Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team.Key Responsibilities:Review and process prior authorization requests from healthcare providers.Verify patient insurance coverage and ensure compliance with payer requirements.Coordinate with healthcare providers, insurance companies, and...

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...

Your Role: Key responsibilities include: Conducting outbound calls to providers to obtain authorization for specific medical procedures or prescription drugs Checking patient eligibility, benefits, and coverage Documenting call notes and taking appropriate action in the revenue cycle system About You: To be considered for this position, applicants need to...

Job Summary: We are seeking a dynamic and experiencedClinical Nurse Trainer (USRN)to lead onboarding, skills development, and ongoing training for registered nurses supporting telephonic triage, utilization management, prior authorization, and administrative clinical support functions. The ideal candidate will combine clinical knowledge, adult learning...

Position Summary:The individual in this position works under direction of Case Manager/UR RN or Social Worker with a primary role of supporting the daily operations of the UR team through the completion of various administrative duties. The individual's responsibilities include but are not limited to:Index, process, and document the incoming payer faxes...

About the job Non-voice agent job for nurses TASQ is currently recruiting a Philippine Registered Nurse (PHRN) for an immediate on-site position in Taguig. Apre-screening interview will be conducted via telephone. The successful candidate will be responsible for coordinating and ensuring the quality of client department processes. Key duties include...

Responsibilities:- Provide basic nursing care within the scope of good practice to the well, injured or ill workers. Assists OH Physician in emergency care for the employee's job-related injuries and illness- Coordinates with HMO provider for HMO enrollment, cancellation and other HMO related services for the workers- Assist and coordinate with HR in...

Job Title: Team Leader Pharmacy Authorization (RN) Location: McKinley, Taguig City Work Set-up: Onsite OUR COMPANY AGS Healthis more than a revenue cycle management company–we’re a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading...

We are seeking for MEDICAL ALLIED GRADUATES to be part of our Prior Authorization team in the Philippines. JOB DESCRIPTION Collaborate with insurance companies and internal teams to facilitate the prior authorization process on behalf of healthcare providers Obtain prior authorization from insurance companies before medical procedures or services are...