USRN/PHRN Specialist (For Pooling)
Location
western visayas, western visayas
Job Type
Full-time
Category
Other-General
Posted
May 28, 2026
Qualifications:
• Must have an active PRC License
• Must have 1 year hospital or clinical BPO experience
• Preferably with medical reviewer experience
• Excellent Communication skills
Responsibilities:
- Review claim details and demographics data
- Review for procedural and associated codes
- Create analyst template and authorization to be submitted to clinicians
- Complete and resolve cases upon getting clinical decision