phrn

Responsibilities To provide support to the clinical team and client team to assist in the promotion of quality member outcomes, to optimize member benefits, and to promote effective use of resources. Supports the procedures that ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost...

WITH SIGNING BONUS! Work setup: 100% Onsite (Ortigas, Pasig City)Shift: Shifting schedule - predominantly Nightshift Responsibilities: Coverage and Access Specialist (PHRN) Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge...

The Registered Nurse will provide clinical and healthcare support services aligned with operational and quality standards. The role is responsible for delivering patient-centered support through documentation review, clinical coordination, and healthcare process assistance while ensuring compliance with healthcare regulations and company policies. Key...

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...

WITH SIGNING BONUS!* Work setup: 100% Onsite (Ortigas, Pasig City) Shift: Shifting schedule - predominantly Nightshift Start Date: December 15, 2025 Responsibilities: Coverage and Access Specialist (PHRN) Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New...

Qualifications: Bachelor's Degree in NursingMust have an active PHRN LicenseWith previous experience in acute care (bedside) and clinical billing (BPO)Amenable to working onsite in Pasig (Ortigas)

About the job: PHRN - Medical Billing (100% Onsite in Ortigas) WITH SIGNING BONUS! * Work setup: 100% Onsite (Ortigas, Pasig City) Shift: Shifting schedule, predominantly night shift Start Date: December 15, 2025; January 12, 2026; January 19, 2026 Responsibilities: Coverage and Access Specialist (PHRN) Professionally and compliantly interact with...

Qualifications: PHRN with active licenseMinimum 1 year BPO Healthcare experienceMinimum 1 year Hospital Bedside ExperienceWilling to work onsite in IT Park, CebuWilling to work on night shift schedule

PHRN Quality Analyst (QA)Job Summary:We are seeking a licensed Philippine Registered Nurse (PHRN) with Quality Analyst experience to join our US Healthcare team. The role is responsible for conducting quality audits, ensuring compliance with established processes and call guidelines, identifying performance gaps, and supporting continuous improvement...

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,...

RSD Human Resource Management Consultancy Negotiable On-site - Quezon City 1-3 Yrs Exp Diploma Full-time Employee Recognition and Rewards Performance Bonus Professional Development Job Training We are seeking a skilled and proactive PHRN Team Lead to oversee a team of Philippine Registered Nurses in a healthcare or BPO environment. This role focuses on...

We Are Hiring for PHRN Qualifications: - Active PHRN License - 1 yr BPO Healthcare Exp - 1 year Hospital Setting Experience (Department: ICU, Medical Surgical, General Ward, Emergency Room) Site: Ortigas

Job Description Evaluate medical records to determine the necessity and appropriateness of treatments. Monitor patient progress and recommend necessary medical interventions. With PHRN License 1-2 years of work exp in a call center with Healthcare/Insurance/Pharmacovigilance background Amenable to work on night shifts and onsite work setup in Cebu Good to...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...

Minimum of Associate degree in Nursing or master’s degree in social work Required to have an active registered nursing license or social work license. Minimum 2 years of clinical experience Management and/or supervisory experience. Active license DUTIES & RESPONSIBILITIE S:Internal Customer Relati onsCommunicate resignations in the team and other agent...

Key Responsibilities Supervise, coach, and mentor a team of PHRNs in handling clinical and non-clinical BPO-related tasks (e.g., utilization management, prior authorization, claims review, telehealth support). Monitor daily team performance, productivity, and quality metrics. Conduct regular performance reviews and provide constructive feedback. Assist in...

CARE COORDINATORS (PHRN) Gallagher Bassett, a premier multiline claims services provider, is looking for PHRNs to join their Workers’ Compensation Triage program. This is a care coordination and documentation support role that provides assistance with documentation, coordination, and workflow activities. Primary Duties and Responsibilities Receive...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost...

On-site - Pasig 1-3 Yrs Exp Bachelor Full-time Job Description Employee Recognition and Rewards Incentives Government Mandated Benefits Insurance Health & Wellness HMO Professional Development Professional Development Maternity & Paternity Leave, Sick Leave Give feedback and coach Process Coaches on their key job capabilities. Assign and monitor...

Job Title PHRN Team Lead Job Description Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider...