Clinical Appeals Specialist (PHRN) — Night Shift, Temporary WFH

EPSILON GROUP SERVICES INC.; Metro Manila; Remote; PHP 502,000 - 670,000; Full time

Job summary

EPSILON GROUP SERVICES INC. in the Philippines is seeking a Clinical Appeals Specialist for urgent hiring. Work setup is Temporary WFH, with night shifts and start dates ASAP or by October 5.

Location is Bridgetowne, QC; salary ranges ₱45,000–₱60,000 monthly. Requirements include a valid and active PHRN license, at least 1 year of Healthcare BPO/CPO experience, 1 year using InterQual or MCG, and at least 2 years bedside clinical experience; ICU/CCU/ER exposure is preferred.

Qualifications

• College graduate with a valid and active PHRN license.
• Minimum 1 year Healthcare BPO/CPO experience.
• Minimum 1 year experience using InterQual or MCG.
• Minimum 2 years bedside clinical experience.
• ICU, CCU, or ER experience preferred.
• Strong clinical documentation and appeals knowledge.
• Must be available to start ASAP.
• Amenable to night shift.

Skills

InterQual/MCG experience

Bedside clinical experience

Clinical documentation

Night shift availability

Education

College Graduate

Job description

EPSILON GROUP SERVICES INC. in the Philippines is seeking a Clinical Appeals Specialist for urgent hiring. Work setup is Temporary WFH, with night shifts and start dates ASAP or by October 5.

Location is Bridgetowne, QC; salary ranges ₱45,000–₱60,000 monthly. Requirements include a valid and active PHRN license, at least 1 year of Healthcare BPO/CPO experience, 1 year using InterQual or MCG, and at least 2 years bedside clinical experience; ICU/CCU/ER exposure is preferred.