Prior Authorization Nurse - PHRN (QA)
HRTX
Taguig, Metro Manila, Philippines1 month ago
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Benefits
Health Insurance
Job Type
full time
Description
Position: Clinical/Prior Authorization - Quality Auditor
Qualifications:
- Must hold an active PHRN license (not a USRN license holder)
- Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review
- Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not required)
- Strong familiarity with EPIC, MCG, or InterQual guidelines required
- Amenable to working onsite in McKinley, Taguig
- Can start in 30 days or less
This job is found at InterviewStack.io
Skills
prior authorization
About HRTX
HRTX, Corp. incorporates a technology-based approach to address and supports the transformation of companies to adapt to an agile culture. Its scope of service covers recruitment, employee engagement and retention, employee recognition and reward system, employee pay and bonuses, staff development and training, workforce relations, performance improvement, and benefits administration.
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