PHRN - Ortigas (Work Onsite)

Ortigas, National Capital Region
Posted 3 days ago
Logo The Referrers
Company:
The Referrers
Company Description:
THE REFERRERS is a global Talent Community that sources, screens and select competent candidates to fill up various job positions intended for our client companies. THE REFERRERS value the confidentiality of the information we collect from you. We are committed to protecting and respecting your personal data privacy and complying with Republic Act 10173 or the Data Privacy Act of 2012.
Contract Type:
Full Time
Experience Required:
1 year
Education Level:
Bachelor’s Degree
Number of vacancies:
3

Job Description

- Provide support to the clinical team and client team.
- Determine customer eligibility by reviewing contractual language and medical documentation.
- Assess medical appropriateness of claims submitted and adjust claims as needed.
- Pay all covered claims accurately and timely.
- Manage both new claims and open claims equally and maintains decision turnaround times.

Required Skills:
- With active license
- At least 6 months Hospital experience
- 1 year prior authorization experience – negotiable: Healthcare experience
- Handling payer side/ provider side/ handling scheduling or any inbound process
- Good typing skills.
- Scope of work inbound or outbound calls or pre-reg- patients that are scheduled outpatient imaging, update insurance, provide prep/ patient instructions.

Additional Notes:
- This position will be working with world’s largest medical coding staff.

Working Set-up: Onsite.

Work Schedule: Mondays to Fridays.

Salary Range: P40,000- P50,000

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