Clinical Nurse Auditor

4 months ago


Pasig, Philippines Visaya KPO Full time

Key Responsibilities
Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client
Review medical records to validate what authorization is required
Utilize Savista’s client’s host system to document case and updated account statuses when applicable
Utilize state or payor portal to check authorization statuses

Education: Bachelor's Degree in Nursing
License / Certification: PH Registered Nurse
Experience: Clinical authorizations, medical records and customer service



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