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Full-time Email Us Massive Hiring For Rns!

at Asia Select, Inc. in Metro Manila

Be one of the pioneers in a start-up healthcare insurance company in the Philippines, but one of the top in the United States!

Description: *Utilizes guidelines and review tools to analyze assigned claims and medical records to either approve or summarize and route to nursing and/or medical staff for review *Follows department guidelines and tools to conduct reviews *Reviews, analyzes and renders determinations on assigned requests *May serve as a liaison between medical management and/or service operations and other internal departments

Requirements: *Must have current RN license (valid in the Philippines) *4 years + of claims processing or customer service experience; or any combination of education and experience, which would provide an equivalent background. *Proficiency with medical coding and medical terminology. *Understanding of provider networks, the medical management process, internal business processes, and proficiency with internal local technology preferred.



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Published at Mar 12, 2019
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