Prior Authorization PHRN

WE'RE HIRING – Prior-Authorization Nurse (PHRN/USRN) – Pioneer Account Location: Ortigas (Onsite) Company: VISAYABe part of a pioneer team supporting patient care through prior-authorization and utilization review services. Qualifications:Graduate of BS Nursing with an active PHRN or USRN licenseAt least 3–5 years of solid experience in:Utilization...

Qualifications:Must have an active PHRN licenseWith 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 skillsMust be amenable to work ONSITE (Site Location: Ortigas, Pasig)Duties and...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for a Prior Authorization Specialist who will be working with Connext's Client in the United...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Job Title:PHRN – Healthcare Account (Voice Campaign)Job Description:We are looking for a Philippine Registered Nurse (PHRN) to join our Healthcare Voice Campaign team. The role involves providing professional support to patients and healthcare providers, ensuring accurate information and excellent service delivery.Qualifications:Must be a Philippine...

Work with the No. 1 Healthcare BPOAn Accounts Receivable (AR) Executive with a PH Registered Nurse (PHRN) license and hospital experience typically works in healthcare-related financial operations, often within business process outsourcing (BPO) or medical billing roles. Here's a general job description:Job ResponsibilitiesPrior Authorization Processing:...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...

Job DescriptionWe are seeking a highly skilled and experienced Registered Nurse to fill a key role in our organization.Active RN licenseAt least 2 years experience in clinical appeals or utilization review/managementExperience in prior authorization and clinical appealsRequired Skills and QualificationsThe ideal candidate will possess excellent communication...