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Us Registered Nurse - Usrn - Work From Home Setup

Us Registered Nurse - Usrn - Work From Home Setup

Global StarterNational Capital Region, Philippines
18 days ago
Job description

Qualifications :

  • USRN - "Active US and PH Nurse License
  • USRN license should be registered in main land state.
  • At least one (1) year of clinical experience is preferred
  • Experience in Healthcare Utilization Review / Utilization Management with focus in Precertification review.
  • Knowledge on federal, state, URAC, and client protocols is preferred.
  • Must be amenable to work either in Taguig / Quezon City / Cebu
  • Willingness to work on night shift.
  • 100k joining bonus, terms and conditions apply.
  • Job Description
  • Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented.
  • Assess medical appropriateness of claims submitted, and adjust claims as needed.
  • Pay all covered claims accurately and timely.
  • Manage both new claims and open claims equally and maintains decision turnaround times.
  • Understand the client's operations and corporate compliance, policies and procedures and best practices
  • Salary
  • Php22,000.00 - Php60,000.00 per month
  • Benefits
  • Paid training
  • Work from home

Schedule :

  • 10 hour shift
  • 8 hour shift
  • Supplemental pay types :

  • 13th month salary
  • Overtime pay
  • Performance bonus
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    Us Registered Nurse • National Capital Region, Philippines