USRN PHRN Representative - Taguig, Metro Manila, Philippines

Assist customers with inquiries and resolve issues through various communication channels. Manage scheduling of appointments and ensure an efficient workflow. Provide support in account management and maintain customer relationships. · ...

The PHRN will support US-based healthcare operations by reviewing clinical cases and ensuring medically appropriate care decisions. · Review medical records and determine medical necessity. · Process claims based on established clinical guidelines. · ...

The PHRN will support US-based healthcare operations by reviewing clinical cases and ensuring medically appropriate and cost-effective care decisions. · ...

Presta apoyo al programa de calidad mediante la identificación de áreas clave para el seguimiento auditivo, aspectos críticos del flujo de trabajo y oportunidades de automatización para mejorar la eficiencia. · ...

You'll have competitive rewards enjoy above-market compensation healthcare coverage on day one for you and at least one dependent paid time-off with cash conversion group life insurance and performance bonuses a collaborative spirit contribute to a positive and engaging work envi ...

We are looking for a Denials & Appeals Compliance Specialist to support our QA program build by identifying key audit areas, critical workflow aspects, and automation opportunities to enhance efficiency. · ...

The Coding Denial Representative determines if the account is appealable or not. The representative must understand and comply with Federal and State regulations. · ...

We are seeking 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 position. · Providing exceptional customer service through variou ...

We are seeking a licensed nurse to join our team in Ortigas, Pasig City. The successful candidate will have experience in prior authorization or eligibility, claims and benefits (payer) and good English communication skills. · ...

Nurses (PHRN) · Coverage and Access Specialist (PHRN)Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications · Care Navigator (PHRN)Develop and maintain Subject Matter Expert (SME) level knowledge of the ...

We are seeking a Healthcare Specialist to join our team. The successful candidate will have experience working with healthcare regulations and compliance. · Coverage and Access Specialist (PHRN) · ...

With signing bonus* Setup: On-site in Ortigas Pasig Schedule: Shifting schedule predominantly night shift Role Requirements: · Must have an active PHRN license · With or without BPO experience · Good English communication skills Available start dates: ...

With signing bonus · Work setup: onsite (Ortigas,Pasig City) · Shift: Shifting schedule predominantly Nightshift · Coverage and Access Specialist(PHRN) responsibilities include interacting with insurance payer representatives and accurately documenting payer interactions to infor ...

This role involves working as a Medical Billing Specialist with responsibilities including coverage and access specialist and care navigator roles. · ...

Coverage and Access Specialist (PHRN) with Care Navigator responsibilities. · ...

Manage and audit medical bills and records for accuracy and compliance. · Negotiate provider fees and identify cost-saving opportunities. · Manage and audit medical bills and records for accuracy and compliance · Negotiate provider fees and identify cost-saving opportunities · ...

We are seeking a skilled PHRN to work as a Coverage and Access Specialist in our team. The ideal candidate will have experience in benefits verification and prior authorization processes. · Care Navigator (PHRN) · Develop and maintain Subject Matter Expert (SME) level knowledge o ...

The CCRD Pharmacy Prior Authorization Senior Manager is a strategic US Licensed Nurse operational leader responsible for overseeing the handling of prior authorization requests across multiple intake channels. · ...

The Coding Denial Representative determines if accounts are appealable or not. · ...

We are hiring for Healthcare Professionals Customer Service Representatives College Graduate with or without experience 2nd year College completer with at least 6 months international BPO experience Allied Science Specialist College graduate in any allied courses BS Pharma Psycho ...