Clinical Nurse Auditor

Pasig, National Capital Region

Posted 7 days ago

Company:: Visaya Knowledge Process Outsourcing
Company Description:: About Us Empowering Growth with Global Talent and Global Excellence 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
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 the state or payor portal to check authorization statuses"

Qualification

Education: Bachelor's Degree in Nursing
License / Certification: PH Registered Nurse
Experience: Clinical authorizations, medical records and customer service
Language: Fluent English verbal and written communication
Special Skills: Microsoft Office

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