
Executives-Clinicians-Nurses
2 weeks ago
Job Description
- Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.
- Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality
- Data gathering requires navigation through multiple system applications.
Qualifications
- Active PRC - RN License
- With at least 1 year hospital bedside experience
Job Type: Full-time
Benefits:
- Health insurance
Ability to commute/relocate:
- Pasay City Central Post Office 1350 P00: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
- Notice Period
- Current and Expected Salary
Education:
- Junior High School (Preferred)
Experience:
- Customer Service Representative: 1 year (Preferred)
License/Certification:
- Nursing license (Preferred)
Work Location: In person
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