PHRN APPEALS SPECIALIST | 1+ Year InterQual/MCG Exp | PHRN | TEMPORARY WFH

EPSILON GROUP SERVICES INC.; Metro Manila; Remote; PHP 502,000 - 670,000; Full time

Job summary

EPSILON GROUP SERVICES INC. in the Philippines is seeking a Clinical Appeals Specialist for urgent hiring. Work setup is Temporary WFH, with night shifts and start dates ASAP or by October 5.

Location is Bridgetowne, QC; salary ranges ₱45,000–₱60,000 monthly. Requirements include a valid and active PHRN license, at least 1 year of Healthcare BPO/CPO experience, 1 year using InterQual or MCG, and at least 2 years bedside clinical experience; ICU/CCU/ER exposure is preferred.

Qualifications

• College graduate with a valid and active PHRN license.
• Minimum 1 year Healthcare BPO/CPO experience.
• Minimum 1 year experience using InterQual or MCG.
• Minimum 2 years bedside clinical experience.
• ICU, CCU, or ER experience preferred.
• Strong clinical documentation and appeals knowledge.
• Must be available to start ASAP.
• Amenable to night shift.

Skills

InterQual/MCG experience

Bedside clinical experience

Clinical documentation

Night shift availability

Education

College Graduate

Job description

URGENT HIRING: CLINICAL APPEALS SPECIALIST | 1+ Year InterQual/MCG Experience | PHRN | TEMPORARY WFH | Up to ₱60K

Location: Bridgetowne, QC
Work Setup: Temporary WFH
Shift: Night Shift
Start Date: ASAP and October 5
Salary: ₱45,000–₱60,000

Qualifications:

• College Graduate with a valid and active PHRN license

• Minimum 1 year Healthcare BPO/CPO experience

• Minimum 1 year experience using InterQual or MCG

• Minimum 2 years bedside clinical experience

• ICU, CCU, or ER experience preferred

• Strong clinical documentation and appeals knowledge

• Must be available to start ASAP

• Amenable to night shift