PHRN (Client Insurance) | Up to 50K + 50K Sign-On Bonus | QC

1 day ago

Quezon City, National Capital Region, Philippines Global Group Innovative Services Full time ₱43,762 - ₱500,000 per year

Job Summary

We're hiring PH Registered Nurses (Client Insurance) to collaborate with healthcare providers and members to ensure quality, medically appropriate, and cost-effective care.

You'll assess inpatient and outpatient medical necessity, coordinate discharge planning, and support utilization management and appeals review.

Responsibilities

  • Evaluate medical claims and benefits for accuracy and completeness
  • Collaborate with Clinical Reviewers and Medical Directors to ensure proper treatment settings
  • Conduct pre-certification, continued stay, and discharge reviews
  • Ensure compliance with clinical guidelines and accreditation standards
  • Support member care transitions through effective case coordination

Qualifications

  • Bachelor's Degree in Nursing or related field
  • Active and unrestricted PHRN license (required)
  • 2 years of BPO clinical experience (UM, Appeals, Denials preferred)
  • Strong communication, problem-solving, and analytical skills
  • Amenable to onsite work in Bridgetowne, Quezon City

Compensation Package

  • ₱43,762 base rate + ₱5,000 program allowance + ₱2,000 non-taxable allowance
  • ₱50,000 total monthly compensation
  • ₱50,000 SIGN-ON BONUS for candidates available to start by November 18, 2025
  • HMO, night differential, paid leaves, and promotion pathways

Apply Now

Be part of one of the top healthcare BPO teams in the Philippines

Apply before November 10, 2025 to secure your slot for the November 18 roster.

Job Types: Full-time, Permanent

Pay: Php45, Php50,000.00 per month

Experience:

  • PHRN Healthcare TL: 1 year (Preferred)
  • PHRN Healthcare: 2 years (Preferred)
  • Hospital: 2 years (Required)

Work Location: In person

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