PHRN Registered Nurse with BPO or Hospital experience
2 months ago
Work Setup: Onsite (McKinley Taguig)Start Date: ASAPRequirements:Active Registered NurseAt least 1 year of BPO Clinical / Healthcare experience or 1.....
Work Setup: Onsite (McKinley Taguig)
Start Date: ASAP
Requirements:
- Active Registered Nurse
- At least 1 year of BPO Clinical / Healthcare experience or 1 year of Bedside / Hospital Experience
- Strong communication skills
- Willing to work onsite in McKinley, Taguig
Responsibilities:
- Clinical Review & Documentation: Analyzing medical records for accuracy, compliance, and appropriateness of care.
- Claims Processing: Determining patient eligibility, validating medical claims, and managing insurance coverage.
- Utilization Management: Reviewing treatment plans against medical policies to ensure cost-effective care.
- Case Management & Liaison: Communicating with healthcare providers and patients to facilitate care and resolve inquiries.
- Clinical Training (if applicable): Developing or delivering training programs for healthcare staff.
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