phrn apeals and denials

Job Title: PHRN – Appeals & Denials NurseWork Setup:On-site, Bridgetowne, Quezon CityShift:Night ShiftSalary Package:PHP 50,762 (Basic: 43,762 + 7,000 Allowance)Signing Bonus:Released on first payout for candidates who can join onDecember 9or immediatelyTarget Start Date:December 9, 2025Headcount:12Role SummaryThe PHRN Appeals & Denials Nurse is...

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...

CLINICAL LEADERSHIP HIRING2 PHRN Training & Quality ManagersSalary: 150,000 PHP + 10%Locations: 1 for Ortigas, 1 for QCQC – PHRN Healthcare Training & Quality ManagerSalary Range: 130,000 – 150,000 PHPRequirements:Minimum 2 solid years of PHRN Healthcare Training & Quality Manager experienceStrong background in UMR, Appeals, Denials, and InterqualSolid...

Job SummaryWe're hiring PH Registered Nurses (Client Insurance) to collaborate with healthcare providers and members to ensure quality, medically appropriate, and cost-effective care.You'll assess inpatient and outpatient medical necessity, coordinate discharge planning, and support utilization management and appeals review.ResponsibilitiesEvaluate medical...

NOW HIRING: PHRN (Philippine Registered Nurse)Location: Bridgetowne, Quezon CitySalary Range: ₱33,000 – ₱47,000 per monthQualifications:Must be a Registered Nurse (PHRN)With at least 1 year of BPO experience in a clinical or healthcare accountExcellent communication and interpersonal skillsAmenable to work on-site in Bridgetowne, Quezon CityWilling to...

We are looking for a Training Quality Manager with strong experience in InterQual and Utilization Management Review (UMR) to lead training effectiveness, quality governance, and performance calibration for a healthcare BPO environment. This role is ideal for leaders who can drive measurable improvements and build high-performing clinical teams.Key...

Looking to level up your healthcare BPO career?This is your chance to join a high-performing teamthat values expertise, growth, and meaningful impact. We're expanding fast — and we're opening our doors to top healthcare talents ready to make a real difference.We havemultiple on-site opportunitiesacrossClinical, Operations, Training, and Quality— all...

/ RequirementsJob Title: PHRN Appeals DenialsShift: Night shiftWork Set-up: Onsite in Bridgetowne, Quezon CitySalary range: 50,762 package (Basic:43,762 and Allowance: 7K) with signing bonus to be released on first payout for those who can join on Dec 9th/ImmediatelyTarget Start Date: December 9, 2025QUALIFICATIONS:• An active Registered Nurse (PHRN) with...

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced MEDICAL CHART AUDITOR to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture...

PHRNs are responsible for collaborating with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of resources. You will play a key role in ensuring that medically appropriate, high-quality, and cost-effective care is provided by assessing the medical necessity of inpatient admissions,...