PHRN Hospital Clinical Appeals

PHRN – Healthcare Account (BPO and Hospital Experience)Work Setup: 100% OnsiteWork Location: ManilaStart Date: ASAPOpenings: 7Job OverviewWe are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to international...

The Quality Analyst will play a crucial role in ensuring the quality of services provided in our Utilization Management, Clinical Denials, and Appeals accounts. The ideal candidate must be a Licensed Nurse with at least 2 years of relevant experience, responsible for monitoring calls and cases, analyzing performance metrics, and providing feedback to improve...

We are seeking a highly skilled and dedicated Philippine Registered Nurse (PHRN) with a strong background in Emergency Department (ED) or Intensive Care Unit (ICU) settings. The ideal candidate will provide exceptional patient care, apply critical thinking in high-pressure situations, and support clinical documentation or healthcare-related operations in...

NOW HIRING: TL – Clinical Authorization (Pharma) / Prior Authorization Team Lead QA – RCM (Releasing of Information) Locations: Taguig | Ortigas Schedule: Nightshift Setup: Onsite Compensation: Up to ₱80,000 basic, depending on current salary With allowances and benefits (to be discussed)Qualifications:For TL – Clinical Authorization (Pharma) /...

Be part of a top healthcare organization where your clinical expertise makes an impact. Enjoy a competitive salary, fast process, and an ASAP start date — apply now and advance your nursing career today Location: Onsite in Ortigas, Pasig Start Date: ASAP / Night shift Competitive Pay + Benefits + Career GrowthOpen Roles:USRN – Hospital Experience (offers...

DUTIES AND RESPONSIBILITIESAttends to applicants and employees' at the Employees Clinic for the following services:Pre-Employment Medical Examination for ApplicantsAnnual Physical ExamMedical ConsultationSick Leave & Fit-to-Work after Sick LeaveMedical ClearancesFirst AidMedicine Allowance AvailmentBenefits AvailmentCoordinates schedule of medical...

USRN Academy (NCLEX) TraineeWork Setup: 100% Onsite – Night ShiftWork Location: Ortigas, ManilaStart Date: ASAPOpenings: 12Job OverviewWe are looking for motivated and dedicated Philippine Registered Nurses (PHRNs) who aspire to become US Registered Nurses through our USRN Academy Program. This program provides paid training to help nurses successfully...

Responsible for providing domain-expertise, process-related guidance, may assume quality audit, trainer/ coding instructor and/or team management leadership and support, as per business need.Primary duties may include, but are not limited to:Serves as a first line resource for operation associates for workflow and technical related processes; provides...

Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise.Primary duties may include, but are not limited to:Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders.Identifies, documents, and reports any transaction errors or communications...

Access Healthcare is looking for Registered Nurse to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications:Registered Nurse with Active license.Hospital Bedside experience (ER, ICU, Post Surgery,...