PHRN - Utilization Review

PHRN – Healthcare Account (BPO and Hospital Experience)Work Setup: 100% OnsiteWork Location: ManilaStart Date: ASAPOpenings: 7Job OverviewWe are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to international...

JOB SUMMARYWe are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management platform are clinical criteria guidelines, streamlining the review and documentation process....

We are seeking a highly skilled and dedicated Philippine Registered Nurse (PHRN) with a strong background in Emergency Department (ED) or Intensive Care Unit (ICU) settings. The ideal candidate will provide exceptional patient care, apply critical thinking in high-pressure situations, and support clinical documentation or healthcare-related operations in...

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...

At least 2 years solid Hospital or Medical Centers Bedside Exp (as Staff Nurse) and can Provide COEActive PRC licenseReview from home set-up but must be willing to report onsiteAmenable to complete 2 year bondActive PRC licenseNo pending NCLEX Application or No Active ATTNo Batch 1999's below graduate and take note of the Red flags schoolMust be willing to...

NOW HIRING: NCLEX Review Nurse (Work-from-Home with Onsite Requirements)Future USRN | NCLEX Sponsorship ProgramWork-from-Home Setup (with Onsite Reporting When Required)Night Shift / Shifting Schedules | Weekends OffOverview:Join a top-tier NCLEX Sponsorship Program designed for committed Filipino RNs who are ready to take their nursing career to the next...

We are looking for a licensed Philippine Registered Nurse (PHRN) with strong BPO leadership experience to manage operations and lead teams for a Healthcare account. This role combines operational oversight with clinical understanding, ensuring exceptional service delivery, regulatory compliance, and team development in a fast-paced BPO environment.Key...

What you'll be doingDesign, develop, and implement new features and enhancements for our Oracle Utilities platformTroubleshoot and resolve issues within the Oracle Utilities application and underlying infrastructureCollaborate with cross-functional teams to understand business requirements and translate them into technical solutionsParticipate in code...

We are looking for a Utility Billing Associatefor a Property management client of ours.  As a Utility Bills Associate, you will be responsible for ensuring that all utility invoices are accurately processed and recorded for each property. You will work closely with the client to maintain organized records, enter invoices into AppFolio with the correct...

PHRN Medical Coder – Non-Voice (Onsite)Location: Manila, PhilippinesWork Setup: OnsiteSchedule: Monday to Friday | Night Shift | Shifting Schedule | Weekends OffEmployment Type: Full-TimeDuties and ResponsibilitiesMedical Coding & DocumentationAssign ICD-10, CPT, HCPCS, and DRG codes based on medical records.Ensure accuracy of coded data for claims...