USRN Team Lead

This position is responsible for supervising a team of USRNs in delivering accurate and high-quality clinical support and services for healthcare clients. The role involves performance management, training, coaching, quality control, and ensuring adherence to compliance and SLA standards within a BPO setting.

Location : Ortigas, Pasig

Shift : Night Shift

Set-up : Onsite

Start Date : June / ASAP

Responsibilities :

• Supervise and lead a team of USRNs handling clinical processes such as utilization management, case management, prior authorizations, appeals, or claims review.
• Monitor and manage team performance against KPIs and SLAs, including quality, productivity, and turnaround time.
• Ensure compliance with HIPAA regulations, client policies, and clinical guidelines.
• Review and audit clinical decisions to ensure accuracy and adherence to established protocols.

Requirements :