PHRN Quality Auditor – Clinical Authorization

OverviewWe are hiring for the PHRN - Utilization Review / Clinical Authorization role at HR TechX Corp. Location: Onsite, Mckinley, Taguig. Schedule: Night Shift | Monday to Friday. Hiring Target Date: Preferably by July 21, 2025. Salary Range: Up to 50k.QualificationsActive PHRN license (Not a USRN)Prior experience as a Quality Auditor in a healthcare BPO...

About Our RoleWe are seeking a skilled professional to join our team in the field of Utilization Review and Clinical Authorization.Job OverviewThis role is responsible for conducting audits in accordance with Quality Improvement Plans (QIP), providing actionable feedback, and tracking corrections. Additionally, this position involves verifying patient...

We Are Hiring: Clinical Authorization Specialists (Surgery, Pharmacy, Oncology) - BLENDED ACCOUNT Taguig | Night Shift | Onsite | Up to 53K Package | Start ASAP - September 22Open Roles:Clinical Authorization SpecialistClinical Authorization Specialist (Pharmacy)Clinical Authorization (Surgery & Oncology)QA – Clinical Authorization (Surgery &...

Healthcare Authorization SpecialistQuality Auditor hiring Clinical Authorization Process.Must hold an active PHRN license (not a USRN license holder)Relevant experience as a Quality Auditor in Clinical Services within a healthcare environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review is...

Job Title: Quality Auditor - Clinical Authorization SpecialistLocation: Robinsons Cyber Sigma Building, McKinley TaguigQualifications:• Must hold an active PHRN license (not a USRN license holder)• Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in...

What Were Looking For:Must have an active PHRN license2 to 5 years of hands-on experience in Clinical Authorization or Utilization Review (required)Prior experience as a Quality Auditor in Clinical Services within a healthcare BPO setting (a strong plus)Familiarity with EPIC, MCG, or InterQual (preferred, not required)Strong attention to detail and excellent...

Looking for USRN and PHRN Hiring for both USRN and PHRN roles in Bonifacio Global City PHRN - Responsibilities Gather clinical documentation for Prior Authorization Verify the patient eligibility and benefits - Qualifications Active Philippine RN license With healthcare or prior auth experience preferred At least 1 year bedside USRN -...

QUALIFICATIONS:With at least 6 months experience in any of the following: clinical/BPO/CPO set-up Active PHRN license RESPONSIBILITIES:Coordinate the execution and continued quality of the clients department processes Perform assigned duties including but not limited to telephonic on-line authorization of routine services, contacting specialty care...

About the role Nezda Technologies, Inc.' is seeking a dedicated and experienced PHRN - Prior Authorizations to join our dynamic team in Taguig City Metro Manila. In this full-time position, you will play a crucial role in managing the prior authorization process, ensuring timely and efficient approvals for our healthcare clients.What you'll be...

Make your next big career move by applying as KMC Solutions' next PHRN – CLINICAL DENIALS AND APPEALS The PHRN - Clinical Denials and Appeals is responsible for reviewing and addressing medical necessity and authorization-related claim denials by conducting thorough clinical reviews, preparing appeal letters, and communicating effectively with payers. This...