Clinical Appeals RN – Immediate HMO & Growth Potential

R1 RCM PHILIPPINES, INC.; Cebu City; On-site; PHP 360,000 - 480,000; Full time

Benefits offered by this job

Competitive salary package

HMO on day 1

Job summary

R1 RCM PHILIPPINES, INC. seeks an experienced Registered Nurse with Clinical Appeals experience to join our team in Cebu City. This full-time role involves crafting persuasive and accurate appeal letters at various levels of review.

Required: at least 2 years bedside hospital experience, BS Nursing, and an active PHRN license. Proficiency in clinical documentation and effective communication is essential to ensure compliant, timely appeals.

Qualifications

• BS Nursing degree with active PHRN license.
• Minimum 2 years of bedside hospital experience.
• Experience writing clinical appeals.

Responsibilities

• Craft appeal letters at multiple levels of review.
• Ensure accuracy of medical information and documentation for appeals.
• Collaborate with clinical staff to gather necessary data.

Skills

Hospital bedside experience

Clinical appeals writing

Education

BS Nursing

PHRN license (active)

Job description

R1 RCM PHILIPPINES, INC. seeks an experienced Registered Nurse with Clinical Appeals experience to join our team in Cebu City. This full-time role involves crafting persuasive and accurate appeal letters at various levels of review.

Required: at least 2 years bedside hospital experience, BS Nursing, and an active PHRN license. Proficiency in clinical documentation and effective communication is essential to ensure compliant, timely appeals.