Licensed Nurse

1 week ago

Pasig, Philippines TASQ Staffing Solutions Full time

About the job PHRN - Medical Billing (100% Onsite in Ortigas)  WITH SIGNING BONUS*Start dates:December 15, 2025 (with options for January 12 or 19, 2026) Work setup: 100% Onsite (Ortigas, Pasig City) Shift: Shifting schedule - predominantly Nightshift Responsibilities: Coverage and Access Specialist (PHRN) Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge Eligibility Checks) and coverage exception follow up calls (Prior Authorization (Pas), Non- Formulary Exceptions (NFEs) and Appeals) Volume and case type to be worked to be determined by Novartis, but in collaboration with supplier based on current SLAs within the PSC and expected agent productivity Accurately and concisely document payer interactions to inform cross-functional partners on the patients coverage status Care Navigator (PHRN) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program Learn and utilize protocols to respond to customer phone, chat, fax, SMS / text, mail, and e-mail inquiries, as well as other communication channels in a prompt and courteous manner Professionally and compliantly interact with customers, relevant Novartis associates, and other external contacts during inbound and outbound phone calls Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required Requirements: Must have an active PHRN license With or without BPO experience Good English communication skills Knowledge of healthcare regulations and compliance Ability to work independently and as part of a team

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    2 days ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time

    About the job PHRN - Medical Billing (100% Onsite in Ortigas) WITH SIGNING BONUS*Start dates:December 15, 2025 (with options for January 12 or 19, 2026)Work setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule - predominantly NightshiftResponsibilities:Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance...

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