Job Description

•Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.

•Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements

•Protects the confidentiality of member information and adheres to company policies regarding confidentiality

•Data gathering requires navigation through multiple system applications.

Job title: PHRN-HEALTHCARE(VOICE)

Work location: MNL & CEBU

Work set up and schedule: Onsite Training 45 days then Temporary WFH Set up afterwards (shifting)

Salary: 37,000

Headcount: 2

Start date: January 16, 2025

Qualifications:

•Active PRC - RN License

•With at least 1 year of hospital bedside experience

•Onsite Training 45 days then Temporary WFH Set up afterwards

•BPO International Acc Experience/ BPO International Acc Trainer experience is a plus

•Night shift/Shifting schedules, Weekends off