Prior Authorization Specialist

PHRN – Prior Authorization Review Experience Location: Quezon City (Bridgetowne) or Ortigas – Onsite Schedule: Night Shift Start Date: Within August Salary: Php 45,000 – Php 50,000 per month (based on experience) Qualifications: Must have a valid PHRN license Minimum of 1 year experience in Prior Authorization Review or UMR With bedside/hospital...

Job Duties and ResponsibilitiesPrioritize accounts according to the assignment assigned.Review patient clinical and chart documentation for scheduled services by the provider's office.Submit faxes with the completed Authorization Request form to the office of the Ordering Provider, and subsequently completing the Pre-Registration status.Analysis of potential...

Location, OrtigasOpen Positions:1 PHRN – Prior Authorization Review (BPO Experience)At least 1 year of BPO experience handling Prior Authorization ReviewsWith hospital experience as a registered nurse1 PHRN – Hospital Nursing ExperienceAt least 2 years of hospital nursing experienceWork Setup & Location:Onsite workLocation: OrtigasSchedule: Night...

HIRING: PHRN (US Healthcare Account) Onsite – Ortigas Pasig | Up to ₱50,000 Package + ₱40,000 SIGNING BONUSWhat we're looking forAt least 1year of experience in a healthcare customer service, prior authorization, or utilization management roleActive PHRN LicenseCan start ASAPAbility to work in a fast-paced environment and manage multiple tasks...

We are hiring for PHILIPPINE REGISTERED NURSES for BPO setupWhat you'll be doingAssessing, planning, implementing, and evaluating patient care based on nursing standards and best practicesAdministering medications, treatments, and therapies as prescribed by physiciansMonitoring patients' conditions and reporting any changes or concerns to the healthcare...

Job PurposeThe purpose of the prior authorization nurse is to provide timely review of authorization requests and ensure the requests meet national standards and contractual requirements. The prior authorization nurses will also promote the quality and cost effectiveness of patient care using clinical acumen. Additionally, the nurses will prepare...

Job description:We are seeking an End-User Compute Operations Specialist with 3–5 years of experience in IT support, help desk, or a service delivery role. This specialist will be responsible for managing the daily operations and support of IT services within our organization, with a focus on End-User Compute.The ideal candidate is proactive and...

The Case Manager Nurse will regularly liaise with multiple clinical specialties and doctors. This role also involves consistent interactions with insurance providers, patients and their families, legal delegates, and representatives from other medical care institutions. Additionally, they will often communicate with nursing staff, billing teams, medical...

QUALIFICATIONSCandidate must possess at least a Bachelor's Degree, Professional License (Passed Board/Bar/Professional License Exam), Nursing or equivalent.At least 6 months experience in Hospital or Clinic Setting.Fresh graduates are also welcome to applyAmenable with Monday-Friday 6:00 am to 3:00pmWilling to work at One Corporate Center, Ortigas,...

Easy, no-hassle and Fast One-day Hiring process! Earn up to 25k monthly plus more benefits! We are looking for a Healthcare Specialist Representative in our Metro Sites! This is for urgent hiring, don’t miss this opportunity and Apply Now! Responsibilities: • Manage healthcare-related inquiries, claims, and service requests with accuracy and...