Clinical Program Nurse I

Crawford & Company; Iloilo; On-site; PHP 240,000 - 320,000; Full time

Job summary

Crawford & Company in the Philippines is seeking a diligent Registered Nurse to audit in-patient and surgical bills for accuracy and cost containment. The role emphasizes adherence to SOPs, confidentiality, and high professionalism while reviewing medical claims.

The ideal candidate holds a Bachelor’s degree in Nursing with an active Philippine RN license and at least one year of clinical or medical bill review experience. Strong communication and time-management skills are essential.

Qualifications

• Must hold a Bachelor’s degree in Nursing.
• Active Philippine RN license without restrictions.
• At least 1 year of clinical experience or medical bill review experience.
• Strong communication abilities.
• Proficient in word processing software.
• Analytical and able to perform basic bill review per SOP.
• Maintains professionalism and confidentiality.
• Ability to multitask, prioritize, and manage time.
• Team player with independent work capability.
• Completes continuing education requirements as mandated.

Skills

Nursing expertise

Active RN license Philippines

Communication skills

Word processing

Analytical skills

Time management

Teamwork

Detail orientation

Professional confidentiality

Independent work

Education

Bachelor's degree in Nursing

Tools

MS Word

Job description

Responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process improvement.

• - Bachelor's degree in Nursing.
• - Must have an active and in good standing without restriction Philippine RN license.
• - Minimum of one (1) year diverse clinical experience or prior experience in medical bill review or claim/case review.
• - Good communication skills.
• - Proficient in word processing software applications.
• - Analytical skills - Ability to perform basic bill review according to standard operating procedures (SOP).
• - Maintains high degree of professionalism and confidentiality.
• - Ability to multi-task, prioritize and manage time effectively.
• - Interpersonal skills - Able to work independently and as a team member.
• - Keen attention to details.
• - Must complete continuing education requirements mandated the Professional Regulation Commission.
• - Must complete courses as outlined by Crawford Educational Services.