Sr Associate-HR Systems & Authorizations PURPOSE The HR Systems and Authorizations Senior Associate supports the HR Operations through correspondence management, talent management and cloud management within the HR Systems and Authorizations service delivery stream. The role ensures the accurate
Job Duties and Responsibilities: Patient Outreach & Support Contact past patients to obtain updated or missing information needed for claim processing, such as insurance information etc. Follow up with patients regarding coordination of benefits (COB) when
The PHRN Clinical Manager is responsible for providing strategic and operational leadership to a team of Philippine Registered Nurses (PHRNs) delivering high-quality clinical support services within a healthcare business process outsourcing (BPO) environment. This position is
We are seeking an experienced Clinical Trainer to join our Healthcare BPO team. The ideal candidate is a Philippine Registered Nurse (PHRN) with a strong background in training and U.S. healthcare operations, particularly in Utilization Management
Role Overview The USRN QA Nurse Leader is responsible for overseeing quality assurance and operational excellence within clinical workflows. This role combines leadership, staffing management, and QA functions to ensure high-quality service delivery, compliance with standards,
Key Responsibilities Administer end-to-end HMO enrollment, including new hires, dependents, status updates, terminations, and annual renewals. Verify employee and dependent eligibility based on company policies and HMO provider requirements. Coordinate with HMO providers to process enrollments,
USRN Triage Support Purpose The USRN Triage Support role provides frontline clinical triage assistance to existing patients through structured workflows involving the review of clinical tickets, medication refill requests, safety assessments, appointment coordination, and crisis escalation.
Position: Clinical Denials & Appeals Nurse Specialist – IP & OP Location: Taguig Work setup & shift: Onsite | Night shift Sign-on bonus: 50,000* Why join us? Youll have: Competitive Rewards: Enjoy above-market compensation, healthcare coverage