PHRN

2 weeks ago

Pasig, Philippines TASQ Staffing Solutions Full time

WITH SIGNING BONUS*Setup: On-site in Ortigas, PasigSchedule: Shifting schedule (predominantly night shift) Role Requirements: Must have an active PHRN licenseWith BPO experience, at least 1 year in prior authorization OR 1 year eligibility, claims, and benefits (payer)Good English communication skillsKnowledge of healthcare regulations and complianceAbility to work independently and as part of a teamStart date: Jan. 29, 2026 * Signing bonus - Terms and conditions applyResponsibilities: 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 the supplier, based on current SLAs within the PSC and expected agent productivityAccurately 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 programLearn 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 mannerProfessionally and compliantly interact with customers, relevant Novartis associates, and other external contacts during inbound and outbound phone callsManage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage, and follow-up where required

  • Licensed PHRN

    2 days ago

    Pasig, National Capital Region, Philippines Find HR PH Full time

    PHRN HospitalActive PHRN with 1 year hospital experience acute settingPHRNActive PHRN with claims and denials and appeals UR experiencePHRN MCG / InterqualActive PHRN MCG / interqual experience | continued stay or inpatient outpatient UMRPHRN with BPO experienceActive PHRN with 1-year prior authorization or healthcare bpo experience international voicePHRN...

  • Phrn

    1 week ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time ₱240,000 - ₱480,000 per year

    WITH SIGNING BONUS*Work setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule - predominantly NightshiftStart Date: January 29, 2026Responsibilities:Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification...

  • phrn

    1 week ago

    Pasig, National Capital Region, Philippines HRTX Full time ₱900,000 - ₱1,200,000 per year

    Location:Unionbank Plaza Bldg., Meralco Ave., corner Onyx and Sapphire St., Ortigas Center, Pasig CityWork Arrangement:Onsite –Shifting ScheduleAbout the Role:We're looking for an experiencedPhilippine Registered Nurse (PHRN)with a solid background inPrior Authorization, Utilization Review, and Healthcare BPO. The ideal candidate will bring strong clinical...

  • Phrn

    1 week ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time ₱500,000 - ₱800,000 per year

    WITH SIGNING BONUS*Work setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule - predominantly NightshiftStart Date: December 15, 2025Responsibilities:Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification...

  • Phrn

    1 week ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time ₱3,000,000 - ₱4,800,000 per year

    WITH SIGNING BONUSWork setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule - predominantly NightshiftResponsibilities: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...

  • Phrn

    1 week ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time ₱300,000 - ₱600,000 per year

    WITH SIGNING BONUS*Work setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule - predominantly NightshiftStart Date: January 12, 2026Responsibilities:Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification...

  • phrn

    6 days ago

    Pasig, National Capital Region, Philippines TASQ Staffing Solutions Full time ₱200,000 - ₱600,000 per year

    WITH SIGNING BONUS*Setup: On-site in Ortigas, PasigSchedule: Shifting schedule (predominantly night shift) Role Requirements:Must have an active PHRN licenseWith BPO experience, at least 1 year in prior authorization OR 1 year eligibility, claims, and benefits (payer)Good English communication skillsKnowledge of healthcare regulations and complianceAbility...

  • PHRN Associate

    1 week ago

    Pasig, National Capital Region, Philippines PMConsulting Full time ₱600,000 per year

    Key Qualifications:Bachelor's Degree in Nursing (BSN)Must have active PHRN/USRN licenseOpen to PHRN with BPO experienceHiring Process:HR InterviewHM's paper screeningHiring Manager's InterviewJob OfferBenefits:Account Premium on top of Base Pay13th & 14th Month PayHMO + Life Insurance on Day 120% Night DifferentialJob Types: Full-time, PermanentPay: Up to...

  • Nurses (PHRN)

    4 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 *Work setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule, predominantly night shiftStart Date: December 15, 2025; January 12, 2026; January 19, 2026Responsibilities:Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance payer...

  • Multiple PHRN

    1 week ago

    Pasig, National Capital Region, Philippines HLH Consulting Group Full time ₱800,000 - ₱2,000,000 per year

    This is a full-time on-site role for Multiple PHRN/USRN positions, including Quality Analyst (QA), TraineTeam Lead, and Operations Manager (OM), based in Pasig. Responsibilities will vary by role but may include quality assurance and auditing, training and upskilling team members, managing team performance, and overseeing day-to-day operations....