Virtual Clinical Process Specialist

2 weeks ago


Tarlac City, Central Luzon, Philippines MetHealth PH Full time

MetHealth PH is seeking a skilled Virtual Clinical Process Specialist to join our team. As a specialist, you will provide direct patient care and monitor patients' health conditions, administering medications and treatments in a CPO setting.

The ideal candidate must have at least one year of clinical experience or two years of hospital bedside experience. This role requires strong analytical skills, as you will be responsible for determining the eligibility of medical claims and coordinating with providers and specialists to assess their validity.

We are offering a competitive salary of $60,000 per annum for this position. Located in Metro Manila, Central Luzon, CALABARZON, Central Visayas, and Iloilo, you will work from home and be part of a dynamic team of registered nurses.

Key responsibilities include:

  • Analyzing and determining the eligibility of medical claims
  • Coordinating with providers and specialists in assessing the validity of claims
  • Informing patients of the result of the validation of claims

Please note that applicants must be a PHRN (non-NCLEX passer) with an active license within six months. We look forward to hearing from qualified candidates who can contribute to our team's success.



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