PHRN - Prior Authorization Nurse

PHRN – Quality AnalystWe are currently looking for Registered Nurse Quality Analyst to be part of our ClinicalteamThe Quality Analyst will be responsible for monitoring and evaluating the quality ofcustomer service interactions, identifying areas for improvement, and ensuringcompliance with policies and procedures. The successful candidate must be a...

About the role Join Methealth as a PHRN (Philippine Registered Nurse) and enjoy a competitive salary and incentivesWhat you'll be doing (training provided):Monitor and assess drug safety / adverse event reports (ICSRs).Perform case processing: intake, triage, follow-up, and documentation.Ensure compliance with regulatory standards (local/international)...

Key ResponsibilitiesReview patient records and provider notes to validate clinical necessityComplete prior authorization forms and submit to payers via online portals or faxFollow up on status of submitted requests and escalate delays appropriatelyMaintain documentation accuracy and compliance with turnaround time requirementsBalance quality of care with...

Access Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team.Key Responsibilities:Review and process prior authorization requests from healthcare providers.Verify patient insurance coverage and ensure compliance with payer requirements.Coordinate with healthcare providers, insurance companies, and...

HIRING: PH Registered Nurse (Hybrid Setup)Locations: Taguig & MakatiWork Setup: Hybrid (4-6 weeks onsite training, then WFH depending on performance)Schedule: Night Shift / ShiftingSalary Package:PHP 35,000 – PHP 45,000 Basic SalaryPHP 3,600 AllowancePHP 8,000 PHRN Allowance (Taxable)Qualifications:Bachelor's Degree in Nursing with Active PHRN License2–3...

PHRN (Healthcare Voice Account)Healthcare Account | Night Shift | Weekends OffWork Setup:Must be willing to report onsite in Taguig or Pasay CityJob Overview:Handle healthcare-related processes with accuracy and professionalism.Support clients and maintain high-quality service delivery.Ensure efficient and compliant handling of member or patient...

Join Access Healthcare Manila as a DRG Nurse Auditor. We are seeking talented individuals to join our team and help drive our success.Apply now and take the next step in your career today. We will provide free training on the client's medical billing software to perform this role.Tasks:Conduct initial audit reviews to validate billed diagnoses and DRG code...

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...

We are seeking a motivated and experienced PHRN Clinical Trainer to join our Healthcare Business Processing Outsourcing Team. In this role, you will be responsible for overseeing the clinical training programs, ensuring deployed employees possess the necessary skills and knowledge to deliver exceptional services to our clients. The ideal candidate will have...

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