PHRN Clinical Appeals Specialist

3 days ago

Quezon City, National Capital Region, Philippines Private Advertiser Full time ₱600,000 - ₱1,200,000 per year

**What we offer:

Salary Package: PHP 50,000**

Sign-On Bonus: PHP 50,000

Work Setup: Onsite at Bridgetowne, Quezon City

Schedule: 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 Process Outsourcing experience (Clinical Knowledge Particularly in Medical Necessity Review and Interpretation of Clinical Documentations, With Good Knowledge and Understanding of the Different Healthcare Insurance Processes, Appeals, Grievances, and Utilization Management)

  • Must be willing to work onsite in Bridgetowne, QC, and be open to a shifting schedule.

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