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Healthcare Compliance Specialist

2 months ago

Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

Job Description

We are seeking a skilled and detail-oriented Clinical Nurse Auditor to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare compliance team, you will play a critical role in ensuring the accuracy and integrity of medical records.

Key Responsibilities:

  • Collaborate with Eligibility Enrollment Specialists to obtain referrals from clients.
  • Review medical records to validate authorization requirements.
  • Utilize client host systems to document case and account statuses.
  • Verify authorization statuses through state or payor portals.

Qualifications:

  • Bachelor's Degree in Nursing.
  • PH Registered Nurse licensure.
  • Experience in clinical authorizations, medical records, and customer service.
  • Fluent English verbal and written communication skills.
  • Mastery of Microsoft Office applications.

Estimated Salary: $65,000 - $85,000 per year, depending on location and experience. This compensation package reflects the importance we place on attracting top talent to our team.

About Us

At Visaya Knowledge Process Outsourcing, we pride ourselves on delivering exceptional services to our clients. Our team is dedicated to providing accurate and timely support, ensuring the highest level of satisfaction for our partners.