PHRN Nurses | Utilization Management or Clinical Appeals | Denials
Aces Call Center Jobs Inc.
- Pasig City, PhilippinesPasig City, Metro Manila, Philippines, Pasig City, Metro Manila, PhilippinesPasig CityMetro ManilaPhilippinesPhilippines
- ₱30,000.00 - ₱50,000.00 / monthPHP300005000030000MONTH
- Full timeFULL_TIME
- Conducts comprehensive reviews of utilization data, including claims, authorizations, and medical records, to analyze and take appropriate action
- Requests clinical data from patient's attending physician as necessary for re-authorization process.
- Adheres to guidelines and follows protocol in place.
- Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
- Graduate of BS Nursing
- Must be a PH Registered Nurse with active license
- 2 years in utilization management, clinical appeals, clinical denials or pre-authorization in a US BPO or local healthcare setting
- Computer literate and able to navigate systems with ease
- Above average English communication skills (for Blended or Non-voice positions)
- Amenable to work on night shift schedule (fixed weekends off)
- Willing to work in Ortigas, Pasig
- Basic pay and allowances P30,000 to P50,000 depending on qualifications and experience
- Night differential pay
- Holiday pay
- Health Insurance and Life Insurance benefits
Perks and Benefits
- Medical / Health Insurance
- Paid Sick Leave
- Performance Bonus
- Recruitment / Signing Bonus
- Paid Holidays
- Paid Vacation Leave
- Maternity & Paternity Leave
Licenses and Certifications
About Aces Call Center Jobs Inc.
ACES CALL CENTER JOBS INC. offers jobseekers, with or without experience, the opportunity to work in top BPO and Call Centers in the Philippines in the shortest time possible. www.acesjobs.com.ph ACES HIRES Get 3,000 Gift Reward (e.g,, Globe Prepaid Load Card) FaceBook Messenger m.me/acesjobs https://www.facebook.com/acesjobs/ http://youtube.com/acesjobs Why Join Us? DISCOVER UNLIMITED JOB POSSIBILITIES CONVENIENCE One Stop Shop - One Day Hiring Get Hired in One (1) day. Don't waste hours going to different call centers and waiting a few more hours in long lines only to find out that you are not qualified or the job you are interested is not available. After you arrive in ACES CALL CENTER JOBS, you will be processed within 30 minutes and know your possible options on where you are qualified. Since 2011, over 10,000+ jobseekers found their job through ACES! CHOICES Comprehensive Active Jobs Choose from the 20+ Top Call Centers, 150+ locations, 800+ positions, 10,000+ vacancies. There is a perfect job for you in ACES. In ACES, we only endorse you to clients that you have the highest chance of getting hired. Come during our ACES Days and get Hired On The Spot (HOTS) Since 2011, ACES has consistently been awarded as the Top 3 Recruitment Partner of choice of the Biggest BPOs and Call Centers. CHARGES It is FREE to apply and ACES gives you 3,000.00 Gift Reward to qualified hires. It is FREE to apply with us. ACES Call Center Jobs is the only company in the Philippines that gives an extra Php 3,000.00 Gift Reward to its successful hires. This is on top of the incentives that you get from the call centers and is given by ACES. Since 2011, ACES has given over 30,000,000.00 (Thirty million) worth of Gift Rewards to thousands of jobseekers hired through ACES. ________________________________________ Work at your preferred site! Our clients from Top Multinational companies need more than 200 agents to work in various areas within: • Makati City • Ortigas Center • Mandaluyong City • Pasig City • Masinag, Antipolo • Taguig City - Fort Bonifacio • Quezon City - Cubao, Eastwood, Commonwealth, Fairview, North EDSA • South Luzon Area - Sucat, Alabang, Laguna • Cebu, Iloilo, Pampanga, Baguio, Davao, Cagayan de Oro • Other Areas Start as a Customer Service Representative CSR, Technical Support Representative TSR or Choose from the following CALL CENTER AGENT positions: • Inbound and Outbound Customer Service Reps (CSR) • Hotel Reservations and Sales or Online Hotel Booking Agents • Technical Support Representatives (TSR) for various industries • IT Helpdesk Officers • Insurance Account Services • Financial Services - Banking, Fraud, Mortgage, FinTech • Collections Account - Collection Officers, Medical collection • Multilingual or Bilingual (English, Japanese, Bahasa, Japanese, Mandarin, Cantonese, Thai, Spanish, French and other Bilingual) - Salary can be as high as 120,000 pesos • Billing Account Services • Travel Booking / Airline Ticketing Account • Pioneer Account / Local accounts • DAYSHIFT - CSR / TSR • BPO jobs in the Philippines in Sales, Finance, Customer Service, CSR, TSR, technical support, Healthcare, Insurance, Telco, Banking and thousands of other vacancies