Clinical Healthcare Compliance Specialist
1 month ago
Job Description:
We are seeking a skilled Clinical Nurse Auditor to join our team at Visaya KPO. In this role, you will work closely with the Eligibility Enrollment Specialist to obtain referrals from our clients and review medical records to validate authorization requirements.
You will utilize Savista's client host system to document case and updated account statuses when applicable and check authorization statuses through state or payor portals.
Requirements:
- Bachelor's Degree in Nursing
- PH Registered Nurse License/Certification
- Experience in clinical authorizations, medical records, and customer service
About the Role:
This is a unique opportunity to leverage your nursing expertise and compliance skills to ensure seamless healthcare operations.
Salary:
The estimated annual salary for this position is $83,000 - $120,000, depending on experience and qualifications.
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