usrn - qa

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:Work from HomeHMO on Day 1 with 2 Dependents upon regularizationGroup Life InsuranceHighly Competitive...

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:Work from HomeHMO on Day 1 with 2 Dependents upon regularizationGroup Life InsuranceHighly Competitive...

JOB DESCRIPTION:Grievance & AppealsCreates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation.Creates a detailed case summary in narrative format for each appeal.Submits cases as directed for each applicable geographic region.Presents verbal and written case...

Quality Auditor hiring Clinical Authorization Process.Onsite, Night Shift, Mon-FridayQualificationsMust hold an active PHRN license (not a USRN license holder)Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review...

About the job Prior Authorization Nurse - PHRN (QA) Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder) Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review Relevant experience as a Quality Auditor in Clinical Services within a...

Clinical Denials & Appeals QA Specialist Location: Taguig, Philippines. Work setup: Onsite, Night shift. Responsibilities Support the QA program build by identifying key audit areas, critical workflow aspects, and automation opportunities to enhance efficiency. Monitor performance metrics, including productivity and accuracy, for all Clinical Denials &...

Join to apply for the Support and Leadership RolesApply role at Shearwater CPO - Home of Clinicians . Your virtual pre-screening interview will only take 10 minutes, click PROCEED to get started. Overview Career opportunities in support and leadership roles at Shearwater CPO include QA Specialist, Training Specialist, and Team Lead. Roles require clinical...

Start your adventure in the wonderful world of MicroSourcing by signing up now. Clinical Denials & Appeals QA Specialist Call Centre & Customer Service Customer Service BGC, Taguig Permanent / Full Time Position: Clinical Denials & Appeals QA Specialist Location: Taguig Work setup & shift: Onsite | Night shift Why join MicroSourcing? Competitive Rewards:...

Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder)Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization ReviewRelevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not...

Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder) Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not...

Qualifications Must hold an active PHRN license (not a USRN license holder)Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review is preferredStrong familiarity with EPIC, MCG, or InterQual guidelines...

Quality Auditor hiring Clinical Authorization Process. Onsite, Night Shift, Mon-Friday Qualifications Must hold an active PHRN license (not a USRN license holder)Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization...

Qualifications Must hold an active PHRN license (not a USRN license holder) Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review is preferred Strong familiarity with EPIC , MCG , or InterQual guidelines required...

Quality Auditor hiring Clinical Authorization Process. Onsite, Night Shift, Mon-Friday Qualifications Must hold an active PHRN license (not a USRN license holder) Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization...