PH Registered Nurse (PHRN) - December & January Starters

TASQ Staffing Solutions; Pasig; In loco; Tempo pieno

Vantaggi offerti da questo lavoro

Signing bonus

Descrizione del lavoro

A staffing agency is seeking a Coverage and Access Specialist in Medical Billing located in Ortigas, Pasig. The ideal candidate must have an active PHRN license and strong English communication skills. Responsibilities include interacting with insurance representatives and managing patient cases. The position offers a signing bonus and includes a shifting schedule, predominantly night shifts.

Competenze

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

Mansioni

• Interact with insurance payer representatives for benefit verifications.
• Document payer interactions accurately.
• Develop knowledge of brand and customer workstreams.

Conoscenze

Good English communication skills

Formazione

Active PHRN license

Descrizione del lavoro

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

PHRN - Medical Billing

Role Requirements:

• Must have an active PHRN license
• With or without BPO experience
• Good English communication skills
• Available start dates:
  • Dec. 15, 2025
  • Jan. 12, 2026
  • Jan. 19, 2026

* 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