RNs Wanted for PHRN Review

About the JobWe are seeking experienced Registered Nurses (RNs) to join our team at the Ortigas site. The successful candidate will have an active PHRN license, minimum 2 years bedside experience, and be available for a 3-month pure review period from 7pm to 12am.Key ResponsibilitiesActive PHRN licenseMinimum 2 years bedside experiencePure review only for 3...

Role Title: PHRN Medical CoderECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges through strategic...

Job DescriptionWe are looking for experienced Registered Nurses (RNs) to join our team at the Ortigas site. The ideal candidate will have an active PHRN license, minimum 2 years bedside experience, and be available for a 3-month pure review period from 7pm to 12am.ResponsibilitiesActive PHRN licenseMinimum 2 years bedside experiencePure review only for 3...

Nezda Technologies, Inc.Job OverviewWe are a dynamic company seeking Registered Nurses (RNs) to join our team at the Vertis North Quezon City site. This is an exciting opportunity to work with us and advance your career.Key ResponsibilitiesActive PHRN licenseMinimum 2 years bedside experiencePure review only for 3 months, 7pm to 12amRequirementsActive PHRN...

PHRN/USRN QA Manager (Healthcare Account)Location: Ortigas, Metro ManilaSalary: PHP 100,000 - 150,000 (Depending on Experience and Last Pay)Shift: Graveyard Shift (Night Shift)We are looking for a dynamic QA Manager with a strong background in healthcare and quality assurance in a BPO setting. If you have a PHRN or USRN license and at least 4-5 years of...

About the Role:Omega Healthcare Management Services Inc. is currently seeking a highly skilled Validator and Consultant for PHRN. The successful candidate will be responsible for reviewing and validating clinical data to ensure it meets the required standards. This role requires a minimum of 3 years of recent experience in bedside care, preferably in...

Key Responsibilities:The Phrn Validation Expert role at Omega Healthcare Management Services Inc. involves working closely with our team to ensure the accuracy and integrity of clinical data. As an expert in this field, you will be responsible for reviewing and validating clinical information to ensure it meets the required standards.A minimum of 3 years of...

Key Responsibilities- Manage and audit medical bills and records.- Validate coding (ICD/PT/DRG) and apply fee schedules.- Negotiate provider fees and leverage cost-saving opportunities.- Provide clinical support and training to Medical Services Representatives.- Contribute to the development of the Clinical Bill Review program.Qualifications- Must have an...

A PHRN - Nonvoice Campaign (Philippine Registered Nurse) is responsible for providing remote healthcare support through chat, email, or system-based documentation rather than phone calls. This role involves reviewing medical records, processing claims, verifying insurance details, handling case management, and ensuring compliance with healthcare protocols....

The Ideal CandidateWe are seeking a highly skilled Clinical Program Nurse II who is passionate about delivering exceptional results in a fast-paced environment. As a key member of our team, you will be responsible for reviewing medical information to determine if requested treatment is medically necessary and appropriate according to the given standards.Main...

ISTA Solutions is currently looking for experienced PHRN who have previous experience dealing with US Healthcare Insurance accounts, particularly in Utilization Management. This position entails semi-back-office work dealing with US-based Clients related to Claims, Benefits, Eligibility, Appeals, Prior Authorization, and particularly in MDS Utilization...

KEY RESPONSIBILITIESResponsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements.Protects the...

Inpatient Medical Necessity Reviewer Job DescriptionWe are looking for a seasoned PH Registered Nurse to fill the position of Inpatient Medical Necessity Reviewer. As an Inpatient Medical Necessity Reviewer, you will utilize your expertise in Interqual to review medical records and determine the medical necessity of inpatient services.Your primary...

UnitedHealth Group is a global organization that delivers care, aided by technology to help millions of people live healthier lives. As an Inpatient Review Coordinator, you will play a key role in improving health outcomes by connecting individuals with the care, pharmacy benefits, data and resources they need to thrive. Our team operates in a fast-paced...

We are URGENTLY looking for USRNs / PHRNs. See below details:Compensation:for PHRN: Php 40,000–50,000 + NDfor USRN: Php 60,000–85,000 or up to 30% increase based on previous salary + NDSign On Bonus GUARANTEEDRequirements:Must have at least 1 year+ experience in Inpatient CDI experience (acute care setting), reviewing Inpatient DRG, US CDI practices,...

**Job Summary:**AGS Health is seeking a highly motivated and organized Revenue Cycle Professional with PHRN experience to join our team. As a key member of our revenue cycle management team, you will be responsible for verifying patient insurance eligibility, benefits, and requirements.**Key Responsibilities:Verify patient insurance eligibility, benefits,...

OverviewCrawford Group offers an exciting opportunity for a highly skilled Clinical Program Nurse II to join our dynamic team. This role involves reviewing medical information to determine if requested treatment is medically necessary and appropriate according to the given standards.Key Responsibilities:Review and AnalysisAnalyzes medical information to...

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaRemote Work Locations: Baguio & DavaoOur Clinicians & Associates advocate for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularizationGroup Life...

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaRemote Work Locations: Baguio & DavaoOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularizationGroup Life...

About the RoleWe are seeking a highly skilled Clinical Program Nurse II to join our team at Crawford Group. As a key member of our team, you will play a critical role in reviewing medical information to determine if requested treatment is medically necessary and appropriate according to the given standards.Main Responsibilities:Evaluation of Medical...