Clinical Nurse Auditor
Pasig, National Capital Region
Posted 14 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
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