phrn utilization Management job at ascentpro in cebu city | workbankAscentPro

Duties and Responsibilities:
Manages incoming or outgoing telephone calls, emails, and/or faxes, including triage, opening of cases and data entry into client system.
Determines contract; verifies eligibility and benefits.
Adhere to federal and state regulatory and/or client plan requirements and established workflows.
Obtains information from claimant or other supporting systems, emails and/or from fax.
Manages claims, collection of non-clinical information needed for review from claimants and providers, utilizing scripts to screen basic and complex requests.
Qualifications:
Graduate of Bachelor's Degree in Nursing
Holds active and unrestricted local (PH) Registered Nurse license
Must at least 1 year hospital bedside experience as a Registered Nurse
Workbank

Cebu City, Cebu
₱20,000-30,000 per month
Permanent
Full-time