Healthcare Authorization Specialist

1 month ago


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

Visaya Knowledge Process Outsourcing is seeking a skilled Clinical Nurse Auditor to join our team. This role involves working closely with the Eligibility Enrollment Specialist to secure referrals from Savista's clients.

The ideal candidate will have a strong understanding of clinical authorizations, medical records, and customer service skills. A Bachelor's Degree in Nursing and a PH Registered Nurse license are required for this position.

In this role, you will be responsible for reviewing medical records to validate authorization requirements and utilizing Savista's client host system to document case and updated account statuses when applicable. You will also need to utilize state or payor portals to check authorization statuses.

This is a great opportunity to work in a dynamic environment and contribute to the success of Visaya Knowledge Process Outsourcing. We offer a competitive salary and benefits package to successful candidates.



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