PHRN - Earn up to 47k
MetacomQuezon City, National Capital Region, Philippines3 days ago
Job descriptionReview medical records to determine if hospital stays or procedures meet medical necessity. Coordinate with U.S.-based nurses or physicians to ensure appropriate care and documentation. Evaluate insurance claims, prior authorization requests, or appeal cases based on clinical documentation. Ensure accurate input of patient data, diagnoses, and treatment notes into electronic health records (EHRs). Handle calls from patients or healthcare professionals regarding benefits, authorizations, prescriptions, or billing—using both medical and customer service skills. Follow HIPAA (Health Insurance Portability and Accountability Act) guidelines for patient data privacy. Competitive Salary : Earn up to ₱47,000 monthly Flexible Shifts : Day, night, and graveyard options available Opportunities : International accounts
Are you ready to start a rewarding career in the BPO industry? We’re looking for motivated individuals to join our growing team across multiple Metro Manila sites!
Job Responsibilities :
1. Clinical Support / Triage
- Provide clinical advice or information to patients, healthcare providers, or insurance clients (depending on the account).
- Conduct symptom checks or guide patients on next steps using set clinical guidelines.
2.Utilization Review / Case Management
3.Claims and Pre-Authorization
4.Medical Documentation and Data Entry
5.Customer Service with Medical Knowledge
6.Compliance and Confidentiality
Why Join Us?
URGENT HIRING!
Apply today and kickstart your BPO career — no experience needed!
Don’t miss this opportunity to get hired right away!"
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Earn • Quezon City, National Capital Region, Philippines
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