Night-Shift USRN: Prior Authorization Specialist (Onsite)

Gratitude Inc; Taguig; On-site; PHP 446,400 - 669,600; Full time

Job summary

A healthcare solutions provider is seeking a PH USRN Authorization Nurse to handle prior authorization requests in BGC Taguig. The ideal candidate will have a USRN license and experience in utilization management. Responsibilities include reviewing clinical documentation, submitting authorization requests, and coordinating with support staff. Immediate joiners are preferred for this night shift position with a competitive salary package.

Qualifications

• Active USRN license, based in the Philippines.
• Minimum 4 years of experience in utilization management or prior authorization.
• Familiarity with U.S. healthcare and payer systems.

Responsibilities

• Review patient records and provider notes to validate clinical necessity.
• Complete prior authorization forms and submit to payers.
• Follow up on status of submitted requests and escalate delays.

Skills

Utilization Management

Prior Authorization

Strong Communication Skills

Attention to Detail

Education

Active USRN License

Job description

A healthcare solutions provider is seeking a PH USRN Authorization Nurse to handle prior authorization requests in BGC Taguig. The ideal candidate will have a USRN license and experience in utilization management. Responsibilities include reviewing clinical documentation, submitting authorization requests, and coordinating with support staff. Immediate joiners are preferred for this night shift position with a competitive salary package.