PHRN – UMR Clinical Appeals

We're Hiring: Clinical Appeals Writer Viventis Search Asia is working with a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. They are currently looking for talented Clinical Appeals Writer professionals to join their team in January 2025.Location: PhilippinesShift: WFH;...

LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.We are hiring forClinical Appeals WriterQualifications:Basic Clinical Appeals writing experienceAt least 1+ years of Clinical / Hospital Experience.BS Nursing graduate.With an active PHRN / USRN LicenseStrong familiarity with using EMR/EHR (Electronic Medical Records or Electronic Health...

About the roleWe are seeking for passionate and driven Customer Service Representatives to join our growing team in Bridgetowne Pasig or in Taguig City. This is a full-time position with a competitive salary range depending on the positionWhat you'll be doingProviding exceptional customer service through various communication channels, including phone,...

Company DescriptionAccess Healthcare, established in 2011, is a global leader in healthcare management and revenue cycle management (RCM) solutions. The organization leverages innovative technology, workflow automation, and healthcare expertise to enhance operational efficiency and elevate patient care. With a global presence spanning 24 delivery centers...

PHRN Trainer (1 Year BPO Training Experience – Healthcare)Start Date: ASAPWork Location: Ortigas, ManilaWork Setup: OnsiteSalary Package:Up to PHP 60,000 (depending on experience)*Qualifications:Active PHRN licenseMinimum of 1 year Trainer experience in a BPO setupHealthcare account experience requiredClinical account experience preferred but not...

WE'RE HIRING: PHRN OPERATIONS MANAGERLocation: QC / OrtigasWork Setup: OnsiteSalary: PHP 140,000 – 150,000Qualifications:UM, InterQual, Prior AuthorizationAppeals, Denials, Workers' CompensationEmail Subject: PHRN Ops ManagerJob Type: Full-timePay: Php140, Php150,000.00 per monthBenefits:Paid trainingWork Location: In person

This position will provide clinical support in a non-hospital setting, assisting in various healthcare-related services such as medical review, claims processing, utilization management, or telehealth support for clients in the US or other international locations.Responsibilities:- Review medical records and clinical documentation for accuracy, completeness,...

"Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.Roles and Responsibilities:Prepares case reviews for Medical Directors by researching the appeal,...

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Sites: Taguig, Cebu, and PampangaOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryAnnual Salary...

QUALIFICATIONS:• Bachelor's Degree in Nursing with an active and valid license in USRN• Must have at least 2 years of experience in utilization management and medical necessity approvals and denials• With experience in Virtual or classroom training• Must have at least 1 year of InterQual process experience• Minimum of 1 to 2 years of experience in...