PHRN – BPO Healthcare Account

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 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...

Work with the No. 1 Healthcare BPOAn Accounts Receivable (AR) Executive with a PH Registered Nurse (PHRN) license and hospital experience typically works in healthcare-related financial operations, often within business process outsourcing (BPO) or medical billing roles. Here's a general job description:Job ResponsibilitiesPrior Authorization Processing:...

QualificationsActive PHRN LicenseMinimum 2 years of Team Leader experience in a BPO (Healthcare account)At least 1 year handling Prior AuthorizationStrong leadership, communication, and coaching skillsWilling to work onsite in ManilaJob Types: Full-time, PermanentPay: Php58, Php62,000.00 per monthExperience:PHRN Healthcare TL: 1 year (Required)PHRN...

We Are Hiring – Healthcare BPO Roles Location: Manila & Cebu (depending on the role) Work Setup: Onsite / Temporary WFH Start Dates: Varies per role Salary Range: Competitive (up to PHP 100,000 depending on experience)Open Positions1. USRN MCGStart Date: 22-SepWork Setup: Temporary WFHSalary: Up to PHP 95,000Non-Negotiable Qualifications:1 year inpatient...

Qualifications:Total of 2-5 years of experience preferably in the BPO/Healthcare industryBachelor's degree in Nursing with active PHRN LicensePreferably 1-2 years of Team Lead experience in a US Healthcare account (Utilization Management/Clinical Appeals and Denial Management)Excellent Leadership & Interpersonal relationshipStrong Process Management &...

Duties & Responsibilities· Monitor activities of Nurses to assess schedule adherence, accuracy, quality, productivity, timeliness and compliance with job requirements, policies and procedures. Report updates to management.· Provide basic on-the-job training for direct reports and serve as a resource to address questions related to the policies, processes...

The PH Registered Nurse (PHRN) collaborates with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of healthcare resources. This role ensures that care provided is medically appropriate, high-quality, and cost-effective by reviewing medical necessity for inpatient admissions, outpatient...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

1 PHRN Training Manager100, ,000phpQualifications:Must be a Registered Nurse (PHRN)Minimum of 2 years' experience as a Training Manager in a BPO setupAt least 3 years of experience handling a Clinical Healthcare account (UMR, Appeals, Denials, or Coding)Willing to work onsite in OrtigasCan start immediatelyRCM TrainerLocation: Onsite – Quezon City...