phrn

2 weeks ago


Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full time
Responsibilities:

Provide support to the clinical team and client team.
Determine customer eligibility by reviewing contractual language and medical documentation.
Assess medical appropriateness of claims submitted, and adjust claims as needed.
Pay all covered claims accurately and timely.
Manage both new claims and open claims equally and maintains decision turnaround times.

Required Skills:

Active license
At least 6 months Hospital experience
1 year prior authorization experience – negotiable: Healthcare experience
Handling payer side/ provider side/ handling scheduling or any inbound process
Good typing skills.
Scope of work inbound or outbound calls or pre-reg- patients that are scheduled outpatient imaging, update insurance, provide prep/ patient instructions.

Additional Notes:

This position will be working with world's largest medical coding staff.
Working Set-up: Onsite.
Mondays to Fridays.
Complete details will provide by our Recruiters.

Job Overview

Offered Salary: PHP 40000-50000
Experience: 6mos and up
  • phrn

    2 weeks ago


    Pasig, National Capital Region, Philippines ManpowerGroup Full time

    Responsibilities:Provide support to the clinical team and client team.Determine customer eligibility by reviewing contractual language and medical documentation.Assess medical appropriateness of claims submitted, and adjust claims as needed.Pay all covered claims accurately and timely.Manage both new claims and open claims equally and maintain decision...


  • Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    TASQ is looking for Clinical Documentation Improvement Specialist in Pasig to work ASAP. The screening interview will be done over the phone.Must be a RN Nursing or Any Medical Allied Course Graduate• Currently holds and maintain at least one certification: active PHRN or USRNLicense/active Medical Coding Certification (CIC (AAPC)/CCS (AHIMA), or...


  • Pasig, National Capital Region, Philippines Lexie Staffing and Business Consulting Full time

    Qualifications: • An active PHRN - Licensed (PH only) • with 1 year hospital experience • Direct Patient Care Experience or as Company / Clinic Nurse with COE• Good communication skills• Available ASAPBenefits: - SIGNING BONUS: 30k- 30k basic pay + 1k flex fund allowance- 20% Night differential- HMO coverage for employee upon Day 1 and HMO...


  • Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    TASQ is looking for Clinical Documentation Improvement Specialist in Pasig to work ASAP. The screening interview will be done over the phone.Must be a RN Nursing or Any Medical Allied Course Graduate• Currently holds and maintain at least one certification: active PHRN or USRNLicense/active Medical Coding Certification (CIC (AAPC)/CCS (AHIMA), or...

  • Hospital Nurse

    3 days ago


    Pasig, National Capital Region, Philippines Lexie Staffing and Business Consulting Full time

    Job Title: Hospital NurseAt Lexie Staffing and Business Consulting, we are seeking a skilled Hospital Nurse to join our team. The ideal candidate will have at least 1 year of hospital experience and a valid PHRN license.Key Responsibilities:Direct patient care experience or as a company/clinic nurse with COE.Good communication skills.Benefits:SIGNING BONUS:...


  • Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a Clinical Documentation Improvement Specialist in Pasig for immediate availability. The screening interview will take place over the phone.**Qualifications:**- Must be a Registered Nurse (RN) or a graduate of a Medical Allied Course- Must currently hold and maintain at least one certification: active Philippine Registered Nurse (PHRN) or U.S....


  • Pasig, National Capital Region, Philippines Lexie Staffing and Business Consulting Full time

    About the Role:We are looking for a highly skilled Healthcare Professional to join our team. As a hospital nurse, you will be responsible for providing direct patient care and working closely with other healthcare professionals. The ideal candidate will have at least 1 year of hospital experience and a valid PHRN license.Responsibilities and Qualifications:-...


  • Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    TASQ is currently seeking a Clinical Documentation Improvement Specialist for an immediate opening in Pasig. The initial screening interview will be conducted via phone.**Qualifications:** Candidates must be a Registered Nurse (RN) or have graduated from a Medical Allied Course. They should hold at least one active certification, which can include a...

  • NCLEX Sponsorship

    2 weeks ago


    Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full time

    Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness of...

  • CDI Specialist

    4 days ago


    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    TASQ is currently looking for a Clinical Documentation Improvement Specialist to fill an immediate opening in Pasig. The initial screening interview will be held via phone.Qualifications:Candidates must be a Registered Nurse (RN) or have completed a Medical Allied Course.They must hold at least one active certification, such as a Philippine Registered Nurse...


  • Pasig, National Capital Region, Philippines Lexie Staffing and Business Consulting Full time

    Overview:Lexie Staffing and Business Consulting is seeking a skilled Clinical Care Specialist to join our team. The ideal candidate will have at least 1 year of hospital experience and a valid PHRN license. As a clinical care specialist, you will be responsible for providing direct patient care and working closely with other healthcare professionals. The...

  • PHRN

    2 weeks ago


    Pasig City, Philippines Manpower Core Group Inc. Full time

    Responsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally and...

  • PHRN

    2 weeks ago


    Pasig City, Philippines Manpower Core Group Inc. Full time

    Responsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally...

  • NCLEX Sponsorship

    3 weeks ago


    Pasig, Philippines The Referrers Full time

    - Design, create, and implement comprehensive training programs for registered nurses.- Conduct engaging and interactive training sessions for groups of registered nurses.- Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation.- Monitor and assess the effectiveness of training programs.- Maintain...


  • Pasig, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a Clinical Documentation Improvement Specialist in Pasig for immediate availability. The screening interview will take place over the phone. **Qualifications:** - Must be a Registered Nurse (RN) or a graduate of a Medical Allied Course - Must currently hold and maintain at least one certification: active Philippine Registered Nurse (PHRN) or...


  • Pasig, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a Clinical Documentation Improvement Specialist in Pasig for immediate availability. The screening interview will take place over the phone. **Qualifications:** - Must be a Registered Nurse (RN) or a graduate of a Medical Allied Course - Must currently hold and maintain at least one certification: active Philippine Registered Nurse (PHRN) or...

  • NCLEX Sponsorship

    2 weeks ago


    Pasig City, Philippines Manpower Core Group Inc. Full time

    Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness...

  • NCLEX Sponsorship

    2 weeks ago


    Pasig City, Philippines Manpower Core Group Inc. Full time

    Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness of...