USRN BPO

We'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...

Press Tab to Move to Skip to Content LinkSelect how often (in days) to receive an alert: Create AlertDate: Aug 12, 2025Location: Manila, 00, PHCompany: NTT DATA ServicesRoles and Responsibilities- Manages a staff of professional-level team members or manages a team through lower-level supervisors manging healthcare Payer claims adjudication process- Works...

Duties & ResponsibilitiesWork post discharge, prebill accounts efficiently and effectively on a daily basis to resolve accounts with "no auth numbers, ALOS vs. authorized days or other discrepanciesEvaluates clinical documentation on multiple patient accounts and escalates issues through the established channelsPerform accurate and timely documentation of...

Senior 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 (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...

USRN 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 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...

Position: 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...

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...

Explore job opportunities in Makati, Philippines, even with a unique search term like 'usrn.' While 'usrn' might not directly correspond to a standard job title, consider exploring roles related to user experience (UX), user research, or user support, which could align with the 'usrn' concept. Makati's job market offers positions in various sectors,...

URGENT HIRING START ASAP APPLY NOW VIRTUAL PROCESSA. USRN - ORTIGAS, PASIG CITY (TEMPORARY WFH)OFFER AND BENEFITS:UP TO 95,000 SALARY PACKAGE (DEPENDING ON THE EXPERIENCE)HMO, NIGHT DIFFERENTIAL, AND OTHER BENEFITS WILL BE DISCUSS ON THE JOB OFFERMINIMUM QUALIFICATIONS:MUST HAVE ACTIVE USRN AND PHRN LICENSEWITH AT LEAST 1 YEAR INPATIENT CONCURRENT REVIEW MCG...

4 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...

Taguig, National Capital Region Aspiree Inc. Posted today Data Analyst - Product Management Taguig, National Capital Region Aspiree Inc. Posted today Job Description OVERALL RESPONSIBILITY The Product Management Analysts are critical players in the Product Management team. The Product Management team is responsible for the in-depth analysis of the...