PHRN w/ Prior Auth or Appeals

We're Hiring: Clinical Appeals Writer Viventis Search Asia is working with a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. They are currently looking for talented Clinical Appeals Writer professionals to join their team in January 2025.Location: PhilippinesShift: WFH;...

Key Qualifications:Bachelor's Degree in Nursing (BSN)Must have active PHRN/USRN licenseOpen to PHRN with BPO experienceHiring Process:HR InterviewHM's paper screeningHiring Manager's InterviewJob OfferBenefits:Account Premium on top of Base Pay13th & 14th Month PayHMO + Life Insurance on Day 120% Night DifferentialJob Types: Full-time, PermanentPay: Up to...

The Quality Analyst will play a crucial role in ensuring the quality of services provided in our Utilization Management, Clinical Denials, and Appeals accounts. The ideal candidate must be a Licensed Nurse with at least 2 years of relevant experience, responsible for monitoring calls and cases, analyzing performance metrics, and providing feedback to improve...

Medical Prior Authorization-Insurance Verification SpecialistPosition Summary:The Prior Authorization Specialist plays a crucial role in the healthcare industry by ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed. They work closely with healthcare...

Duties & ResponsibilitiesWork post discharge, prebill accounts efficiently and effectively on a daily basis to resolve accounts with "no auth numbers, ALOS vs. authorized days or other discrepanciesEvaluates clinical documentation on multiple patient accounts and escalates issues through the established channelsPerform accurate and timely documentation of...

This position will provide clinical support in a non-hospital setting, assisting in various healthcare-related services such as medical review, claims processing, utilization management, or telehealth support for clients in the US or other international locations.Responsibilities:- Review medical records and clinical documentation for accuracy, completeness,...

This a Philippine-based position;NOT a US based position and the pay rate is not in US currency.ABOUT FREEDOM HEALTH SYSTEMS, INC:Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We...

RESPONSIBILITIES:To provide support to the clinical team and client team to assist in the promotion of quality member outcomes, to optimize member benefits, and to promote effective use of resources. Supports the procedures that ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost...

Job Description:We are seeking compassionate and dedicated Philippine Registered Nurses (PHRN) to join our growing healthcare team. This is an excellent opportunity for newly licensed nurses to start their professional careers in a supportive and dynamic environment.Qualifications:Must be a Philippine Registered Nurse (PHRN) with an active licenseNew passers...

Experience these Xtraordinary benefits when you join Med-Metrix8-Hour Shifts, Fixed Weekends OffDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowanceFree Lunch DailyPaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityThe Trainer is responsible for...