Philippines

PHRN Care Management Associate, Taguig

PHRN Care Management Associate, Taguig
Description
Job Requirements
  • Active Registered Nurse or Active Licence Pharmacist
  • At least 1 year of BPO Clinical / Healthcare experience or
  • 1 year of Bedside / Hospital Experience


Job Requirements
  • Answer inbound calls from patients, healthcare providers, and insurance members.
  • Explain health benefits, coverage details, and medical policies.
  • Assist with prior authorizations and claims status inquiries.
  • Review medical records and documentation as needed.
  • Provide basic health education and clinical guidance within scope.
  • Document all interactions accurately in the system.
  • Escalate complex clinical concerns to appropriate departments.
  • Ensure compliance with HIPAA and company policies.
Highlights
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More info about this ad

PHRN Care Management Associate has been posted in the Taguig Recruitment & HR category on Locanto.

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