
PHRN - Prior Authorization / Hospital Experience – up to 50K salary package
4 days ago
Qualifications:
- Must have an active PHRN license
- With at least 1 year experience in Healthcare BPO – prior authorization experience is preferred but not required and/or at least 1-2 years bedside care experience in an acute setting (clinics are not included)
- Good communication skills
- Must be amenable to work ONSITE (Site Location: Ortigas, Pasig)
Duties and Responsibilities
- Conduct detailed review of clinical documentation to assess the medical necessity of requests.
- Submit prior authorization requests to payers, ensuring accuracy and compliance with policy requirements.
- Track and follow up on authorization requests, managing denied authorizations and filing appeals, as necessary.
Offer:
- 40,000 – 50,000 salary packages
- Others
By Applying, you give consent to collect, store, and/or process personal and/or sensitive information for the purpose of recruitment and employment may it be internal to Cobden & Carter International and/or to its clients.
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