USRN | Voice Account Senior Nurse Analyst | Cebu
ACES
- Cebu City, Cebu
- ₱65,000-70,000 per month
- Permanent
- Full-time
- Handle inbound and make outbound calls or send emails from/to patients, hospitals and healthcare providers
- Adhere to regulatory and company policies at all times
- Review and assessment of primarily complex illness and injury claims
- Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities
- Validate the medical necessity of limitations and/or restrictions with clear rationale.
- Discuss medical issues and documents outcomes of discussions.
- A graduate of BS Nursing
- Holder of Active USRN license (any US Mainland State)
- At least 2 years hospital experience, surgical experience an advantage
- Above average English skills
- Computer navigation skills, familiar with MS Word and Excel
- Willing to work on Nightshift and shifting schedule
- Salary and Allowances P65,000 to 70,000 per month
- HMO Benefit
- Night differential pay
- Performance bonus
- Medical / Health Insurance
- Paid Sick Leave
- Performance Bonus
- Recruitment / Signing Bonus
- Paid Holidays
- Paid Vacation Leave
- Transportation Allowances
- Maternity & Paternity Leave
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