Talent Job Seeker
PHRN Associate
- directions_car Metro Manila
- work Full-time
About the position
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, and compliance.
- Assist in the processing of health insurance claims, ensuring alignment with clinical standards and payer guidelines.
- Provide clinical input in utilization management, pre-authorization, or appeals processes.
- Conduct outbound and/or receive inbound calls related to patient care, benefits verification, or prior authorization.
Requirements:
- Active PRC License
- At least 1 year of hospital/clinical experience
- Previous BPO healthcare experience is a plus
- Excellent communication skills, both verbal and written
Place of work
Metro Manila
app.general.countries.Philippines
About the company
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Relevant places near
- Quezon City
- Manila
- Caloocan City
- Taguig
- Pasig City
- Las Piñas
- Antipolo
- Makati City
- Pasay
- Bacoor
Job ID: 9717693
/ Ref: 465e5601ce66dd0900e4fbc3bf9727f5