Payer & Care Navigator Nurse (PHRN) – Night Shift

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

Benefits offered by this job

Signing bonus

Job summary

A staffing solutions company is seeking a Coverage and Access Specialist (PHRN) to interact with insurance representatives on benefits verification. Ideal candidates must possess an active PHRN license and have strong English communication skills. Responsibilities include documenting payer interactions and managing cases throughout the patient journey. The position is based on-site in Ortigas, Pasig, with scheduled night shifts and includes a signing bonus.

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

Knowledge of healthcare regulations and compliance

Education

Active PHRN license

Job description

PHRN / Registered Nurse | Kickstart your 2026!

About the job PHRN / Registered Nurse | Kickstart your 2026!

WITH SIGNING BONUS!*
Setup: On-site in Ortigas, Pasig
Schedule: Shifting schedule (predominantly night shift)

Role Requirements:

• Must have an active PHRN license
• With or without BPO experience
• Also open to PHRNs with at least 1 year in prior authorization OR eligibility, claims, and benefits (payer)
• Knowledge of healthcare regulations and compliance
• Dec. 15, 2025
• Jan. 12, 2026
• Jan. 19, 2026
• Jan. 29, 2026 (PHRNs w/ 1 yr PA/Eligibility/Claims/Benefits exp.)

* Signing bonus - Terms and conditions apply

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)
• Volume and case type to be worked to be determined by Novartis, but in collaboration with the 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 patients' 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