PHRN Medical Billing - Ortigas | WITH SIGNING BONUS!

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

Benefits offered by this job

Signing bonus

Job summary

A staffing agency in Pasig City is seeking a Coverage and Access Specialist. The role involves interacting with insurance representatives and managing patient cases. Candidates must have an active PHRN license and strong English communication skills. The position offers a shifting night schedule with a fully onsite work setup. Ideal for individuals with or without BPO experience. This role promises professional growth with a competitive signing bonus.

Qualifications

• 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.

Responsibilities

• Interact with insurance payer representatives for benefit verifications.
• Document payer interactions accurately.
• Manage assigned cases throughout the patient journey.

Skills

Good English communication skills

Ability to work independently

Knowledge of healthcare regulations

Education

Active PHRN license

Job description

WITH SIGNING BONUS!*

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

Shift: Shifting schedule - predominantly Nightshift

Start Date: January 19, 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)
• 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 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 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