PHRN

3 weeks ago


Ortigas, Philippines The Referrers PH 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.

Job Overview:
-Offered Salary:40000-50000
-Experience: 6mos and up


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