Clinical Billing & Reimbursement Nurse I

Crawford & Company; Manila; On-site; PHP 350,000 - 550,000; Full time

Job summary

Crawford & Company in Manila is seeking a Nurse Auditor to review in-patient and surgical bills, promoting accuracy in medical bill review and process improvement.

You will work with physicians and internal teams to resolve billing discrepancies, document findings, and ensure proper reimbursement while maintaining confidentiality and professionalism. The role requires a Philippine RN license, a Bachelor's in Nursing, and at least one year of relevant clinical or billing experience.

Qualifications

• Bachelor's degree in Nursing.
• Active and in good standing Philippine RN license.
• Minimum of one year diverse clinical experience or prior medical bill review or claim/case review.
• Good communication skills and analytical abilities.

Responsibilities

• Audit inpatient and/or surgical bills by SOPs and turnaround times.
• Clarify billing discrepancies and recommend reimbursement.
• Document information in system bill notes to support reimbursement.
• Collaborate with peer physicians and attorneys on claims as needed.
• Uphold confidentiality and Crawford Code of Conduct.

Skills

Communication skills

Analytical skills

Interpersonal skills

Time management

Attention to detail

Teamwork

Multi-tasking

Professionalism

Confidentiality

Education

Bachelor's degree in Nursing

Tools

Word processing

Job description

Crawford & Company in Manila is seeking a Nurse Auditor to review in-patient and surgical bills, promoting accuracy in medical bill review and process improvement.

You will work with physicians and internal teams to resolve billing discrepancies, document findings, and ensure proper reimbursement while maintaining confidentiality and professionalism. The role requires a Philippine RN license, a Bachelor's in Nursing, and at least one year of relevant clinical or billing experience.