PHRN Taguig Hybrid

TASQ Staffing Solutions; Taguig; On-site; PHP 279,000 - 502,000; Full time

Job summary

TASQ Staffing Solutions is seeking a PHRN with an active license to join our clinical review team in Taguig. The role involves on-site work with production phased onsite twice a week, starting on Sept 15, 2026.

Responsibilities include clinical review, claims processing, utilization management, and case management liaising with healthcare providers. Suitable for organized professionals with back-office experience.

Qualifications

• PHRN with active professional license in the Philippines.
• Minimum 1 year of grievance and case appeals experience.
• Experience in back-office non-voice tasks is preferred.

Responsibilities

• Clinical Review & Documentation: Analyze medical records for accuracy and compliance.
• Claims Processing: Determine patient eligibility and validate medical claims.
• Utilization Management: Review treatment plans against policies for cost-effective care.
• Case Management & Liaison: Coordinate with healthcare providers and patients to resolve inquiries.

Skills

PHRN with active license

Grievance & case appeals experience (1

Back-office (non-voice)

Job description

Job Description:

Work Setup: Training is full onsite; once in production, 2x a week onsite (Taguig)

Start Date:Sept 15, 2026

Requirements:

• PHRN with Active license
• Must have at least 1 year grievance & case appeals experience
• Back-office (Non-voice)

Responsibilities:

• Clinical Review & Documentation:Analyzing medical records for accuracy, compliance, and appropriateness of care.
• Claims Processing:Determining patient eligibility, validating medical claims, and managing insurance coverage.
• Utilization Management:Reviewing treatment plans against medical policies to ensure cost-effective care.
• Case Management & Liaison:Communicating with healthcare providers and patients to facilitate care and resolve inquiries.