phrn

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)...

Position SummaryThe Prior Authorization Nurse (PHRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review clinical documentation to ensure accuracy and medical necessity, complete required payer forms, and work closely with administrative support staff to...

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...

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...

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...

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...

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...

PHRN – Clinical TrainerWe are seeking a motivated and experienced Clinical Trainer to join our HealthcareBusiness Processing Outsourcing Team.In this role, you will be responsible for overseeing the clinical training programs, ensuringdeployed employees possess the necessary skills and knowledge to deliver exceptionalservices to our clients. The ideal...

URGENTLY HIRINGQUALITY AUDITORQualifications:* outpatient facility coding with certification* Must be willing to work onsite in TaguigQUALITY AUDITORQualifications:* Surgery coding with PHRN with certification* Must be willing to work onsite in TaguigMEDICAL CODERQualifications:* PHRN or USRN license holder* AHIMA or AAPC coding certification required* Must...

ResponsibilitiesManage a group of Short-term Disability AnalystsMonitor key performance indicators (KPIs) and conduct performance reviews, and provide coaching to improve agent skills.Manage the stakeholder expectation to support the operations from PGS procedures, and state & federal regulations to make appropriate, accurate, and timely decisions.Monitor...