PHRN Healthcare Associate

2 days ago


Cebu City, Central Visayas, Philippines HRTX Full time


Qualification:

2 years of bedside nursing experience

Amenable working onsite - nightshift in Cebu

Active PHRN license.

Responsibilities:

  • Review and evaluate clinical information and documentation.
  • Handle fax triage and provider calls.
  • Interpret data from clinical records/systems, applying clinical criteria and policy in compliance with regulatory/accreditation requirements.
  • Ensure confidentiality of member information and adhere to company policies.


  • Urgent: Customer Care

    2 weeks ago


    Cebu City, Central Visayas, Philippines Global Healthcare Resource Phils Inc Full time

    The Customer Care Associate (CCA) plays a vital role in providing exceptional patient support and customer service in a U.S. healthcare BPO environment. The position is primarily responsible for managing inbound and outbound calls, assisting patients with billing inquiries, account balances, insurance concerns, and payment processing, while ensuring...

  • Front Desk Specialist

    2 weeks ago


    Cebu City, Central Visayas, Philippines Tahche Outsourcing Services Full time

    Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers.As a Healthcare Front Desk Associate, you will assist patients with their inquiries, set up appointments, and perform general tasks. This is...


  • Cebu City, Central Visayas, Philippines The HIRD Corp. Full time

    Your Career Starts Here – Be the Voice That MattersWe are expanding our Cebu City operations and urgently hiring passionate Customer Service Representatives to deliver world-class support.Available AccountsMedicalHealthcareRetailLogisticsAirlineWho We're Looking ForCollege Graduate (with or without experience)College Undergraduate (at least 2 years / 4...

  • Healthcare Associate

    2 weeks ago


    Iloilo City, Western Visayas, Philippines HealthyBOS | A Knack RCM Company Full time

    A Call Center Representative, or Call Center Agent, takes calls from customers answering questions or addressing any concerns they may have. Their duties include handling many inbound and outbound calls to and from customers, listening to customers needs or issues and providing helpful solutions to their problems.Job Responsibilities:Take customer calls and...


  • Iloilo City, Western Visayas, Philippines TTEC Full time

    Your potential has a place here with TTEC's award-winning employment experience. As a Desktop Support Technician working onsite in Iloilo City, you'll be a part of bringing humanity to business. #experienceTTECWhat You'll Be DoingDo you have a passion to help others solve issues? Want to learn and grow your own knowledge in various IT fields? In this role,...


  • Bacolod City, Western Visayas, Philippines TTEC Full time

    Your potential has a place here with TTEC's award-winning employment experience. As a Team Lead working onsite in TTEC Bacolod, you'll be a part of bringing humanity to business. #experienceTTECOur employees have spoken. Our purpose, team, and company culture are amazing, and our Great Place to Work certification in the Philippines says it allWhat You'll...


  • Pasig City, Philippines TASQ Staffing Solutions Full time

    WITH SIGNING BONUS! 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...


  • Quezon City, National Capital Region, Philippines RSD Human Resource Management Consultancy Full time

    Qualifications Required QualificationsActive Philippine RN License (PHRN)Clinical experience (hospital or clinic experience preferred)Good understanding of medical terminologyGood English communication skillsPreferred / AdvantageExperience in US Healthcare BPO/CPOKnowledge of:Utilization Management (UM)Prior Authorization (PA)Medical Coding basics (ICD-10,...

  • PH Registered Nurse

    3 weeks ago


    Pasig City, Philippines TASQ Staffing Solutions, Inc. Full time

    WITH SIGNING BONUS!* Setup: On-site in Ortigas, Pasig Schedule: Shifting schedule (predominantly night shift) Role Requirements: > Must have an active PHRN license > With or without BPO experience > Also open to PHRNs with at least 1 year in prior authorization OR eligibility, claims, and benefits (payer) > Good English communication skills > Knowledge...


  • Quezon City, National Capital Region, Philippines International Jobs Gateway Connect Full time

    Job Title: PHRN CLINICAL TRAINERShift: Night shiftWork Set-up: On-site in Bridgetowne, Quezon CityStart date: Dec 31, 2025/ ASAPRecruitment Process: 2 Virtual interview processesQUALIFICATIONS:• Bachelor's Degree in Nursing with an active and valid license in PHRN• Must have at least 2 years experience in utilization management and medical necessity...


  • Quezon City, National Capital Region, Philippines Nezda Technologies, Inc. Full time

    Nezda's Taguig based BPO partner client is URGENT HIRING for Customer Service Representatives (CSRs) to start this DECEMBER 2025 Apply now and get hired via ONE DAY VIRTUAL PROCESSWE'RE HIRING PHRN for a CSR – Healthcare Account 𝐖𝐨𝐫𝐤 𝐋𝐨𝐜𝐚𝐭𝐢𝐨𝐧: Bridgetowne, QC𝐀𝐩𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧...


  • Quezon City, National Capital Region, Philippines HRTX Full time

    QualificationsFresh Graduate are welcome to apply.College Graduate or 2 years completed in college.Worked in service Industry.Experience of 6 months and above desirable.Experience in call center will be an advantage.Healthcare experience will be an added advantageVoice ClarityAccent NeutralityFluency in EnglishKnowledge of basic computer...


  • Quezon City, National Capital Region, Philippines Myglit Intelligence Full time

    Operations Manager for Appeals - PHRNLOB DESCRIPTION: Medical necessity review for appeals (Claims denied due to medical necessity)JOB SUMMARY:The Operations Manager for Appeals is responsible for managing and overseeing operations related to clinical appeals, ensuring compliance with industry standards and regulatory requirements. The role involves close...


  • Makati City, National Capital Region, Philippines Asalus Corporation (IntelliCare) Full time

    Graduate of Business Administration, Marketing, Healthcare Management or any related field.With at least 1 year experience in business development, sales, and marketing.Has the ability to express ideas clearly, articulate, refine strategies and improve performance.


  • Quezon City, Philippines Home Health Care Placements, Inc. Full time

    Qualifications:Bachelor’s degree in Business Administration, Marketing, Management, or any related field.Additional certifications in sales, marketing, or business development are an advantageAt least 1 year of experience in business development, sales, account management, or customer relations.Experience in lead generation, prospecting, or preparing...


  • Quezon City, Philippines Home Health Care Placements, Inc. Full time

    Qualifications: Bachelor’s degree in Business Administration, Marketing, Management, or any related field. Additional certifications in sales, marketing, or business development are an advantage At least 1 year of experience in business development, sales, account management, or customer relations. Experience in lead generation, prospecting, or preparing...