Clinical Appeal Specialist

1 day ago

Quezon City, National Capital Region, Philippines ECLARO Full time ₱900,000 - ₱1,200,000 per year

ECLARO is currently hiring Clinical Appeals Specialists (PHRN) for our BPO client in Bridgetowne.

If you're interested, please send your resume to

Qualifications:

  • Must be an active PHRN license holder
  • At least 1 year of clinical experience (hospital, clinic, or managed care setting)
  • Minimum of 6 months of clinical process outsourcing experience, with strong clinical knowledge—especially in medical necessity reviews, interpretation of clinical documentation, and a solid understanding of healthcare insurance processes, appeals, grievances, and utilization management
  • Willing to work onsite in Bridgetowne and open to a shifting schedule

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