Aces Call Center Jobs Inc.
Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiencyEvaluates the patient’s situation against the hospital policies, insurance company’s standards and the cost of involved treatmentsCoordinates and communicates with providers, members, or other parties to facilitate optimal care and treatmentCompensation Package:Monthly salary and allowances P60,000Performance Incentives and bonusesHMO Benefit from Day 1
Graduate of BS Nursing with active PHRN license
Holder of Active USRN license (any US State or territorial states)
Ability to communicate effectively verbally and in writing in English
At least 1 to 2 years BPO experience exposed to utilization management workers' compensation or health insurance claims
Willing to work on Nightshift, weekends and holidays – 5-day work week (paid night differential)