This role is expected to coordinate the execution and continued quality of the client's department processes, perform assigned duties including but not limited to telephonic on-line authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing on-line data entry of routine authorizations/denials.
What we look for:
Must have an active PRC Nursing License
Must have BPO experience handling Healthcare Account/s
Preferably w/ Utilization Management or Pre-auth denials background
At least 1 year of bill review experience is required.
Willing for a temporary work-from-home set-up
Willing to work in BGC, Taguig City
When you #ComeHOMEtoCPO, here's what you get:
1. Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance!
2. More Time with Family. Above-market & flexible leave days.
3. A Warm, Engaging "All-Clinical" Community. You'll immediately feel the difference.
4. Multiple Pathways to Career Advancement. Don't get stuck at a job with a low ceiling.
5. You'll Be Part of a U.S.Based Global Healthcare Company
Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!
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