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Healthcare Operations Manager

1 week ago

Pasig, National Capital Region, Philippines VISAYA KPO Full time
Job Description
VISAYA KPO seeks a skilled Clinical Nurse Auditor to join our team. In this role, you will collaborate with the Eligibility Enrollment Specialist to acquire client referrals and review medical records to ensure accurate authorization. Additionally, you will be responsible for maintaining up-to-date documentation of case and account statuses within Savita's client host system and monitoring authorization statuses through state or payor portals.

Responsibilities:
1. Work with the Eligibility Enrollment Specialist to obtain client referrals
2. Review medical records to verify authorization requirements
3. Document case and account statuses in Savita's client host system
4. Check authorization statuses through state or payor portals as required

Requirements:
* Bachelor's Degree in Nursing
* PH Registered Nurse License/Certification
* Proficiency in Microsoft Office applications
* Fluency in English verbal and written communication