Clinical Appeals Specialist

ECLARO is currently hiring Clinical Appeals Specialists (PHRN) for our BPO client in Bridgetowne.If you're interested, please send your resume toQualifications:Must be an active PHRN license holderAt least 1 year of clinical experience (hospital, clinic, or managed care setting)Minimum of 6 months of clinical process outsourcing experience, with strong...

We are seeking highly qualified professionals to join our team as Clinical Appeals Specialists (PHRNs). This role offers competitive compensation, bonuses, and the opportunity to work onsite in Quezon City.Role SummaryWe are looking to hire 10 Clinical Appeals Specialists (PHRNs) with an onboarding date of September 2, 2025. Candidates must complete all...

Job SummaryClinical Appeal Specialist role available in a dynamic BPO setting.Key ResponsibilitiesAssist with medical necessity reviews and interpretation of clinical documentation.Collaborate with cross-functional teams to ensure accurate and timely appeal resolutions.RequirementsActive PHRN license holder required.Minimum 1 year of clinical experience in...

**What we offer: Salary Package: PHP 50,000**Sign-On Bonus: PHP 50,000Work Setup: Onsite at Bridgetowne, Quezon CitySchedule: Shifting Schedule Required Qualifications:An active Philippine Registered Nurse (PHRN) license is required.At least 1 year of clinical nursing experience (hospital, clinic, or managed care setting).A minimum of 6 months of Clinical...

Transforming health outcomes requires a dedicated professional who can deliver clinical support for performing in-depth reviews of appeals. This role also involves reviewing quality of service issues, ensuring compliance with state and federally mandated turn-around-times and process requirements.Deliver high-quality clinical support for the review of...

Clinical Appeals RN (Registered Nurse) – PHRN (NON-VOICE)Pay: ₱46,600.00 – ₱56,600.00 per monthStart Date: SeptemberWork Locations: Makati City and Taguig CityWhy Join Us?Be part of our company and achieve your life's best work. We offer competitive pay, excellent benefits, and long-term career opportunities in a supportive work...

Job TitleClinical Insurance SpecialistA clinical insurance specialist performs intermediate level insurance verification and authorization duties with a growing level of responsibility. The position coordinates with clinical departments to ensure accurate scheduling for covered services, resolves moderate issues with payers, and supports pre-visit readiness...

Company DescriptionUroServe Enterprises is dedicated to bridging urological needs by delivering advanced medical technologies and comprehensive clinical support to healthcare providers. As a trusted distributor of innovative urology solutions, we partner with leading global manufacturers to ensure hospitals, clinics, and specialists have access to...

Company Name: Royal Arc Med Solution Corp.Job Title: Clinical Applications Specialist Position Summary:The Clinical Applications Specialist is responsible for supporting the successful adoption, training, and clinical integration of diagnostic imaging technologies. This role collaborates closely with sales teams, radiologists, technologists, and clinical...

Clinical Documentation plays a vital role in healthcare by providing accurate and detailed patient records. A Clinical Documentation Specialist works closely with healthcare providers to document clinical interactions in real-time, ensuring that all relevant information is captured correctly.The primary responsibility of a Clinical Documentation Specialist...