PHRN VOICE ACCOUNT | HMO BENEFITS | CAN START ASAP | PASAY
KEY RESPONSIBILITIES
• 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
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality
• Data gathering requires navigation through multiple system applications
WHAT WE OFFER?
• Competitive Compensation Package with Retention Program incentives, Performance Incentives
• HMO can cover up to three dependents up to 80 years old Dental coverage for employees
• Skills enhancement through Trainings and Personal Development Programs
• Great Culture and Work Environment
QUALIFICATIONS
- BS Nursing Graduate
- Must have an Active PRC - RN License
- With 1 year of clinical nursing experience
Employer questions
- Which of the following types of qualifications do you have?
- How many years' experience do you have as an Accounts Role?
- How many years' experience do you have as a Registered Nurse?
- How much notice are you required to give your current employer?
- Do you have an active PHRN license?
- Do you have an active USRN license?
Company profile
EXL Service (Nasdaq:EXLS) is a recognized business solutions provider. EXL's service offerings are aligned to provide a competitive edge to its clients by transforming and outsourcing business processes. While outsourcing involves providing a full spectrum of business process services from offshore delivery centres that require ongoing process management skills, transformation services enable continuous improvement of client processes by bringing together EXL's capabilities in reengineering including six sigma process improvement, research & analytics, and risk advisory services.
Visit our Recruitment Offices:
MANILA
6/F One E-Com Center, Mall of Asia Complex, Pasay, Metro Manila
ALABANG
9/F Plaza E Building, Northgate Cyberzone, Filinvest Alabang, Muntinlupa City
CEBU
10/F 2Quad Building, Cardinal Rosales Avenue, Cebu Business Park, Cebu City
Choose to be Social:
Facebook: facebook.com/exlphilippines
Twitter: @exlphilippines
Instagram: @exlphilippines
LinkedIn: EXL Philippines
Report this job advert
- Role descriptions
- Salary insights
- Tools to help you prepare for jobs