Phrn Prior Authorization Jobs in Mandaluyong, Philippines

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PHRN Prior Authorization

**ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ...

PHRN Prior Authorization

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ours ...

PHRN Prior Authorization | WFH

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we ...

PHRN Prior Authorization | WFH

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we p ...

PHRN Prior Authorization Specialist (Night Shift)

A leading outsourcing company in the Philippines is looking for an experienced PHRN to join their expanding team. The ideal candidate will have strong clinical experience and exceptional English communication skills. Responsibilities include processing Prior Authorization requests and maintaining compliance with ...

Prior Authorization Consultant

Job Description: Receive requests for prior authorizations using the Scheduling module of the Electronic Health Record (EHR) and/or via phone or fax and ensure that they are closely monitored. Process referrals and submit medical records to insurance carriers to expedite prior authorizati ...

Prior Authorization Consultant

Job Description:Receive requests for prior authorizations using the Scheduling module of the Electronic Health Record (EHR) and/or via phone or fax and ensure that they are closely monitored.Process referrals and submit medical records to insurance carriers to expedite prior authorization processes.R ...

USRN Prior Authorization

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ours ...

USRN Prior Authorization | WFH

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we prid ...

USRN (NLC) Prior Authorization | WFH

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ours ...

USRN (NLC) Prior Authorization | WFH

**ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ...

USRN Prior Authorization Specialist – Growth & Balance

A leading outsourcing company in Metro Manila is looking for an experienced USRN to join their expanding team. This role requires review and analysis of medical documents, processing prior authorization requests, and communicating with insurance providers. Candidates must be registered nurses with relevant exper ...

US RN: Utilization Review, Prior Authorization & Denials

A healthcare consulting firm in Quezon City is seeking a US Registered Nurse (USRN) to support clinical review and healthcare operations. Responsibilities include evaluating medical records, conducting utilization review, and ensuring compliance with payer standards. Ideal candidates will have an active US RN li ...

PHRN Care Management Associate

On-site - Cebu 1-3 Yrs Exp Bachelor Full-time Share Job Description Job Title: PHRN / Non-RN Medical Coder Nature of Work: Non-Voice Work Setup: Work From Home Start Date: February 2026 N ...

Quality Assurance Associate (PHRN)

The Quality Assurance Associate (PHRN) is responsible for monitoring, evaluating, and continuously improving the quality of patient interactions. This role involves reviewing inbound and outbound calls, providing structured feedback to agents, and ensuring adherence to clinical, operational, and co ...

Remote SAP Authorization Senior Consultant

A global technology and consulting firm is seeking an experienced professional to enhance SAP environments. You will define and implement authorization concepts and roles, support clients with solutions, and ensure regulatory compliance. Ideal candidates should possess over 7 years of SAP experience, strong coll ...

Medical Coder (PHRN / Non RN) WFH

Job Title: Medical Coder (PHRN / Non-RN) Location: Manila (MOA) & Cebu (CEB) Work Setup: Work From Home Nature of Transaction: Non-Voice Status: ASAP | Very Urgent Headcount: 3 Salary & Allowances Non-RN Medical Coder: Total Package: PHP 45,675 < ...

Remote PHRN Team Lead — Utilization Review

A healthcare company is seeking a PHRN Team Lead in Metro Manila to oversee Utilization Review Nurses for U.S. healthcare clients. This role demands strong clinical knowledge and hands-on experience, along with leadership in a remote environment. Ideal candidates will have significant clinical experience, a PHRN ...

Medical Coder (PHRN / Non RN) WFH

Job Title: Medical Coder (PHRN / Non-RN) Location: Manila (MOA) & Cebu (CEB) Work Setup: Work From Home Nature of Transaction: Non-Voice Status: ASAP | Very Urgent Headcount: 3 Salary & Allowances Non-RN Medical Coder: Total Package: PHP 45,675 < ...

Remote PHRN Medical Coder (3+ yrs Experience)

A healthcare company in Cebu City is seeking a Medical Coder with an active coding license. The ideal candidate must have at least 3 years of experience in medical coding and be amenable to working from home. Responsibilities include reviewing medical records, assigning coding accurately, and ensuring compliance ...

Remote Medical Coder CPT & HCPCS Expert (Non Voice)

A healthcare services company is urgently hiring Medical Coders in the Philippines, both PHRN and Non-RN. This remote role involves accurate medical coding using CPT and HCPCS guidelines. Candidates must have an active Medical Coder License and a minimum of 3 years of coding experience. Responsibilities include ...

Quality Assurance Associate (PHRN) – Patient Call QA & Coaching

A leading healthcare services provider in the Philippines is seeking a Quality Assurance Associate to monitor and evaluate patient interactions. This role ensures adherence to quality standards and provides feedback to enhance agent performance. Candidates must possess a valid PHRN license, strong communication ...

Healthcare Insurance Coordinator (Philippines | Remote)

Healthcare Insurance Coordinator (Philippines | Remote) Schedule: 45 hours/week | 9:00 AM - 5:00 PM PSTLocation: Fully Remote We are seeking an experienced and detail-oriented Healthcare Insurance Coordinator to support our insurance verification and authorization processes. ...

US Registered Nurse

The US Registered Nurse (USRN) will support clinical review and healthcare operations by evaluating medical records, validating clinical necessity, and ensuring compliance with payer and regulatory standards. This role focuses on supporting accurate reimbursement outcomes through clinical documentation re ...

Healthcare Insurance Coordinator (PH | Remote)

Healthcare Insurance Coordinator (PH | Remote) About the job Healthcare Insurance Coordinator (PH | Remote) Healthcare Insurance Coordinator (Full-Time) Schedule: 45 hours/week | 9:00 AM - 5:00 PM PSTLocation: Fully Remote<br ...

Healthcare Insurance Coordinator (PH | Remote)

Healthcare Insurance Coordinator (PH | Remote) About the job Healthcare Insurance Coordinator (PH | Remote) Healthcare Insurance Coordinator (Full-Time) Schedule: 45 hours/week | 9:00 AM - 5:00 PM PSTLocation: Fully Remote<br ...

Healthcare Insurance Coordinator (PH | Remote)

Healthcare Insurance Coordinator (PH | Remote) About the job Healthcare Insurance Coordinator (PH | Remote) Healthcare Insurance Coordinator (Full-Time) Schedule: 45 hours/week | 9:00 AM - 5:00 PM PSTLocation: Fully Remote We are seeking an ex ...

Remote Clinical Appeals Writer | Healthcare Denials Expert

A leading healthcare solutions provider is seeking a Clinical Appeals Writer in Metro Manila, Philippines. The role involves drafting concise appeal letters, conducting thorough clinical reviews, and collaborating with healthcare teams. Applicants should have experience in clinical appeals writing and hold a PHR ...

Remote Medical Coder (CPT/HCPCS) – 3+ Years Experience

A healthcare services company is seeking Medical Coders (PHRN/Non-RN) for a work-from-home position. This role focuses on accurate medical coding using CPT and HCPCS guidelines, ensuring compliance with industry standards. Candidates must have an active Medical Coder License, with a minimum of 3 years of solid m ...

Remote US Registered Nurse Virtual Care & Growth

A global organization is seeking BS Nursing Graduates with active PHRN and USRN Licenses for virtual processing roles in Metro Manila, Taguig. The ideal candidates should possess good communication skills and be open to a voice process. This position offers competitive salary and benefits, comprehensive training ...

project nure

Active PHRN License Bachelor of Science in Nursing (BSN) With 1-2 years of experience in nursing field Preferably with BOSH Training Proficiency in emergency procedures, first aid, and CPR Knowledgeable in Microsoft Office (Word, Excel, and Powerpoint) <l ...

Virtual Front Desk Representative

Job Description:Responding to chats, inbound calls and outbound calls to patients, providers, and Healthcare Insurance companies regarding inquiries, appointments, and data verification.Responding to Emails and Managing Voicemail and providing administrative support that includes data entry, record manag ...

Virtual Front Desk Representative

Salary: PHP 30,000- PHP 50,000/ month Job Description: Responding to chats, inbound calls and outbound calls to patients, providers, and Healthcare Insurance companies regarding inquiries, appointments, and data verification. Responding to Emails and Managing Voicemail and prov ...

Virtual Front Desk Representative (Healthcare) | Work From Home | URGENT

Overview Responsibilities Responding to chats, inbound calls and outbound calls to patients, providers, and Healthcare Insurance companies regarding inquiries, appointments, and data verification. Responding to emails and managing voicemail and providing administrative suppo ...

Virtual Front Desk Representative (Healthcare) | Work From Home | URGENT

Job Description Responding to chats, inbound calls and outbound calls to patients, providers, and Healthcare Insurance companies regarding inquiries, appointments, and data verification. Responding to Emails and Managing Voicemail and providing administrative support that includes ...

Operations Manager 11

This is a Philippine-based position; NOT a US based position and the pay rate is not in US currency. Overview COMPANY: Freedom Health Systems, Inc. POSITION TITLE: Operations Manager 11 ALTERNATE TITLE(S): Administrative Services Manager DIVISION: Operations DEP ...

Remote Healthcare Insurance Specialist

A healthcare services organization is seeking a detail-oriented Healthcare Insurance Coordinator to support verification and authorization processes in a remote setting. The ideal candidate will have over 4 years of experience in U.S. healthcare insurance, handling sensitive patient data securely. Responsibiliti ...

Virtual Front Desk Representative

Responding to chats, inbound calls and outbound calls to patients, providers, and Healthcare Insurance companies regarding inquiries, appointments, and data verification. Responding to Emails and Managing Voicemail and providing administrative support that includes data entry, record management, ...

Operations Specialist Record Request Triager

Operations Specialist - Record Request Triager | Remote JOB DESCRIPTION: Operations Specialist Record Request Triager Position Type: Full-TimeSchedule: MT or PST Hours, Remote We are seeking an Operations Specialist Record Request Triager to ...

Operations Specialist Record Request Triager | Remote

Operations Specialist Record Request Triager Full-Time MT or PST Hours, Remote Apply Here: About The Role We are seeking an Operations Specialist Record Request Triager to support a fast-moving healthcare documentation and medical records organization. This role ...

Fraud Risk Detection Analyst

Authorizations Staff Job Summary Handle voice authorization requests from Bank of Commerce Bank branches, local and international merchant acquirers, on-us merchants, and MasterCard in a timely and accurate manner. Conduct comprehensive cardholder identification to mitigate possible risks and ens ...

Healthcare Claims Specialist

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life bal ...

Operations Specialist Record Request Triager | Remote

JOB DESCRIPTION: Operations Specialist Record Request Triager Position Type: Full-TimeSchedule: MT or PST Hours, Remote Apply Here: About the Role We are seeking an Operations Specialist Record Request Triager to suppor ...

Medical Billing Specialist (Accounts Receivable)

Position Summary The Medical Billing Specialist will provide clerical and billing expertise to ensure patients receive high-quality, efficient care. This role is responsible for accurate charge entry, payment posting, claims processing, and reconciliation while maintaining compliance with establis ...

Healthcare Claims Specialist

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life ...

Customer Advocate Level I

As a Customer Advocate, you will be supporting communication between MedRisk/SPNet's network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet's referral process, ensuring efficient workflow, while i ...

Sr. Backend Developer focus in Java / 100% Remote MEXICO/ Advanced Engli... Mexico ·

Company Description Bloom Talent Partners specializes in IT recruitment, focusing primarily on the Latam market. We bridge the gap between employers and exceptional IT professionals, ensuring a perfect cultural fit. For companies, we provide tailored IT talent, tech expertise, efficient hiring, a ...

Treasury & AR Associate — Fresh Grads Welcome (Shift flex)

A leading healthcare provider in Metro Manila is looking for a Treasury/Accounts Receivables Associate. Responsibilities include cash management, document preparation for various payors, and ensuring authorization verification with Health Maintenance Organizations. Candidates must hold a Bachelor's degree in Fin ...

Night Shift Onboarding Specialist

A leading HR services company is looking for an onboarding specialist in Mandaluyong, Philippines. The candidate will monitor pre-employment requirements for North America-based candidates, which includes handling onboarding paperwork, background checks, and work authorization. Excellent communication and custom ...

Senior Finance Analyst Oracle & Hyperion Focus

A global technology company is seeking a Financial Accountant in Metro Manila. This role involves monthly financial closing activities, analysis of financial data, and preparation for audits. The ideal candidate should have a Bachelor's degree in Accountancy, preferably a CPA, and possess 3-5 years of experience ...

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    Phrn Prior Authorization Jobs in Mandaluyong Job Search Guide, Trends and Insights