Clinical Nurse Auditor

Pasig, National Capital Region

Posted 16 days ago


Company:: Visaya KPO
Company Description:: Welcome to VISAYA KPO, where global talent and excellence unite, empowering growth and fostering enduring partnerships.
Contract Type:: Full Time
Experience Required:: 1 year
Education Level:: Bachelor’s Degree
Gender:: Any
Number of vacancies:: 1

Job Description

Key Responsibilities
Works with the Eligibility Enrollment Specialist to obtain referrals from Savista’s client
Review medical records to validate what authorization is required
Utilize Savista’s client’s host system to document case and updated account statuses when applicable
Utilize state or payor portal to check authorization statuses

Education: Bachelor's Degree in Nursing
License / Certification: PH Registered Nurse
Experience: Clinical authorizations, medical records and customer service

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