Nurse - PHRN - Medical Billing | Ortigas (January 12, 2026 start date)

TASQ Staffing Solutions; Pasig; On-site; Full time

Benefits offered by this job

Signing bonus depending on experience

Job summary

A staffing solutions firm is looking for a PHRN - Medical Billing professional to work onsite in Ortigas, Pasig. The role primarily involves interacting with insurance representatives for coverage verification and managing patient inquiries. Candidates must hold an active PHRN license and possess good English communication skills. The job involves a shifting schedule with predominantly night shifts, starting on January 12, 2026, and offers a signing bonus based on experience.

Qualifications

• Must have an active PHRN license.
• With or without BPO experience.
• Good English communication skills are essential.

Responsibilities

• Interact with insurance payer representatives for benefit verifications.
• Document payer interactions to inform partners on coverage status.
• Manage assigned cases throughout the patient journey.

Skills

Good English communication skills

Ability to work independently

Knowledge of healthcare regulations and compliance

Education

Active PHRN license

Job description

About the job: PHRN - Medical Billing (100% Onsite in Ortigas) | To Start on January 12, 2026

WITH SIGNING BONUS! *
*-depending on experience, to be discussed at the latter part of the process

Work setup: 100% Onsite (Ortigas, Pasig City)

Shift: Shifting schedule—predominantly night shift

Start Date: January 12, 2026

Responsibilities:

Coverage and Access Specialist (PHRN)

• Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge Eligibility Checks) and coverage exception follow-up calls (Prior Authorization (Pas), Non-Formulary Exceptions (NFEs) and Appeals)
• The volume and case type to be worked to be determined by Novartis, but in collaboration with supplier based on current SLAs within the PSC and expected agent productivity
• Accurately and concisely document payer interactions to inform cross-functional partners on the patient's coverage status

Care Navigator (PHRN)

• Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program
• Learn and utilize protocols to respond to customer phone, chat, fax, SMS/text, mail, and e-mail inquiries, as well as other communication channels in a prompt and courteous manner
• Professionally and compliantly interact with customers, relevant Novartis associates, and other external contacts during inbound and outbound phone calls
• Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required

Requirements:

• Must have an active PHRN license
• With or without BPO experience
• Good English communication skills
• Knowledge of healthcare regulations and compliance
• Ability to work independently and as part of a team