Medical Case Reviewer PHRN

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...

Position Title:PHRN - 2024Shift:Job Description:Responsible for providing non-clinical support to the Medical Management and/or Operations areas.Primary duties may include, but are not limited to:Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med...

Full job descriptionE-TeleConnect (Paranaque) is hiring Registered Nurse Case Manager, a healthcare professional who coordinates and manages the care of patients, from the point of hospital admission to discharge. They work closely with patients, families, healthcare providers, and insurance companies to ensure that the patient receives the appropriate care,...

We are mass hiring PHRN across our Quezon City sites! Earn Up to 47K Monthly. Open to those without bedside experience. and newly registered are open to apply! Job Responsibilities: Telephone Triage & Health Assessment Assess patient symptoms and medical concerns over the phone. Use clinical judgment and established protocols to determine the level of care...

[Kindly submit your updated English resume.]The Medical Case Coordinator serves as the primary liaison between patients, attorneys, and medical providers following auto-related personal injury accidents. This role involves managing treatment funding requests, coordinating ongoing medical care, and ensuring compliance with confidentiality and ethical...

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...

Responsibilities: Develop and conduct training sessions, workshops, and webinars on medical coding guidelines and best practices. Train new and existing coders on ICD-10, CPT, HCPCS, DRG assignment, risk adjustment, and compliance regulations. Create training materials, manuals, and assessment tools to enhance coding knowledge and accuracy. Monitor coder...

Job 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 their first payout for those who can join on Dec 9th/ImmediatelyTarget Start Date: December 9, 2025Headcount: 12Recruitment Process: VirtualQUALIFICATIONS:• An...

What we offer Salary Package: PHP 50,000 + Sign-On Bonus PHP 50,000 Work Setup: Onsite at Bridgetowne, Quezon CitySchedule: Shifting Schedule Essential Duties and Responsibilities Accurately interpret member benefits and managed care products, and guide members to appropriate providers, programs, or community resources. Collaborate with medical directors to...

ROLE AND RESPONSIBILITIES:Team Supervision & Support:Assist in managing and mentoring coding staff, including training and performance feedback.Help coordinate workload distribution and resolve operational issues.Operational Management:Monitor coding productivity and accuracy to meet organizational goals.Ensure timely completion of coding for all assigned...