PHRN Clinical Authorization Specialist-BLENDED

WE'RE HIRING: QUALITY AUDITOR – CLINICAL AUTHORIZATION Join our dynamic healthcare team and make an impact in clinical quality assurance Qualifications • Active PHRN license (USRN license holders are not eligible) • Proven experience as a Quality Auditor in Clinical Services within a healthcare BPO – Alternatively, 4–7 years of focused...

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...

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 -...

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...

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...

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...

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...

Job Title: Clinical Authorization SpecialistLocation: McKinley, Taguig CityWork Set-up: OnsiteOUR COMPANY:AGS Health is more than a revenue cycle management company–we're a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading health...

QualificationsMust have an active PHRN license, preferably not holding a nursing license from another state. At least 6 months of experience in Clinical Authorization or Clinical Denials and Appeals, with familiarity in medical necessity, clinical authorization, and denial & appeal criteria. At least 6 months of bedside nursing experience preferred but not...

TASQ is looking to fill an on-site position for a PHRN to work on-site for a non-voice account ASAP. The pre-screening interview will take place over the phone. PHRN (Manila) Responsibilities: Coordinate the execution and continued quality of the clients department processes Perform assigned duties including but not limited to telephonic on-line...