Description
Job Overview
Responsible for working with healthcare professionals and members to maximize the results of quality members, optimize the benefits of members, and promote the efficient use of resources. Conduct pre-service, concurrent retrospective, out of network, and care environment appropriateness. Reviews service requests to ensure enforcement, benefits, and arrangements with relevant requirements, medical policies, and member eligibility
Qualifications
*Bachelor's degree holder of Nursing (BSN)
*Must be a Philippine Registered Nurse (PHRN) active license
*Hold a current and unrestricted US Registered Nurse license
*Minimum of 3 months prior working experience in a clinical setting as a Registered Nurse
*Good to have BPO voice account experience
*Knowledge of disability claims management process, ICD-9, ICD-10, and CPT codes is a plus
*Amenable to work in a Shifting schedule
*Can work in different locations in Metro Manila specifically Taguig and Alabang
Note/s:
All recruitment process will be done remotely to ensure the safety
Requirements
Minimum education level: Bachelor ́s Degree
Years of experience: 1
Availability for travel: No
Availability for change of residence: No
Job Overview
Responsible for working with healthcare professionals and members to maximize the results of quality members, optimize the benefits of members, and promote the efficient use of resources. Conduct pre-service, concurrent retrospective, out of network, and care environment appropriateness. Reviews service requests to ensure enforcement, benefits, and arrangements with relevant requirements, medical policies, and member eligibility
Qualifications
*Bachelor's degree holder of Nursing (BSN)
*Must be a Philippine Registered Nurse (PHRN) active license
*Hold a current and unrestricted US Registered Nurse license
*Minimum of 3 months prior working experience in a clinical setting as a Registered Nurse
*Good to have BPO voice account experience
*Knowledge of disability claims management process, ICD-9, ICD-10, and CPT codes is a plus
*Amenable to work in a Shifting schedule
*Can work in different locations in Metro Manila specifically Taguig and Alabang
Note/s:
All recruitment process will be done remotely to ensure the safety
Requirements
Minimum education level: Bachelor ́s Degree
Years of experience: 1
Availability for travel: No
Availability for change of residence: No
Other Info
₱ 40,000.00 monthly · Taguig, National Capital Region · Yesterday, 07:00 AM (updated)
Work type
Full Time
Work type
Full Time
Submit profile
V-call Center Link (vcclink), Inc.
About the company
V-call Center Link (vcclink), Inc. jobs
Metro Manila








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Position US Registered Nurse - work from home recruited by the company V-call Center Link (vcclink), Inc. at Taguig, Joboko automatically collects the salary of ₱ 40,000.00 monthly, finds more jobs on US Registered Nurse - Work from Home or V-call Center Link (vcclink), Inc. company in the links above
About the company
V-call Center Link (vcclink), Inc. jobs
Metro Manila