HIRING: PHRN- Prior Authorizations

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...

Position Title: PHRN Quality Auditor - Prior/Clinical AuthorizationLocation: McKinley, TaguigWork Set-up: Full Onsite | Night ShiftDirect Hire | Permanent role Qualifications: Must hold an active PHRN license With relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment Open for Associate/CSR with 4+ years of...

We Are Hiring: Clinical Authorization Specialists (Surgery, Pharmacy, Oncology) - BLENDED ACCOUNT Taguig | Night Shift | Onsite | Up to 53K Package | Start ASAP - September 22Open Roles:Clinical Authorization SpecialistClinical Authorization Specialist (Pharmacy)Clinical Authorization (Surgery & Oncology)QA – Clinical Authorization (Surgery &...

TASQ is looking to fill an on-site position for a PHRN to work on-site for a non-voice account ASAP. The pre-screening interview will take place over the phone. PHRN (Manila) Responsibilities: Coordinate the execution and continued quality of the clients department processes Perform assigned duties including but not limited to telephonic on-line...

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...

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...

JOB RESPONSIBILITIES:Contact insurance companies to verify coverage status of patient benefits.Files pre-authorizations for patients with insurance companies and provide follow up as needed.Process supply orders.Maintains accurate patient information in relevant Acelis Connected Health data management systems.Provides patients with information regarding...

Job Title: Quality Auditor - Clinical Authorization SpecialistLocation: Robinsons Cyber Sigma Building, McKinley TaguigQualifications:• 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...

PH Registered Nurses (with or without BPO Experience) Location: McKinley, Taguig or Pasay, MOASchedule: Night Shift What to Expect:Hybrid setup after on site training1-Day Hiring ProcessSalary up to ₱37,000 Package Requirements: Active PHRN LicensePerfect for nurses looking to transition from hospital work to the BPO industryApply now and start your career...

Location: Taguig / MakatiQualifications:2–3 years of recent bedside experience (within the last 5 years) in a tertiary hospitalAreas: ICU, CCU, Telemetry, Cardiovascular ICU, Medical ICU, ER, Medical-Surgical UnitJob Details:Salary: PHP 35,000 – PHP 45,000 basicAllowances: PHP 3,600 OGA + PHP 8,000 PHRN (taxable)SG Level: 23Work Setup: HybridShift:...