PHRN - Utilization Review Nurse (UR) Hospital Bedside

Access Healthcare Services Manila, Inc.; Philippines; On-site; PHP 335,000 - 469,000; Full time

Benefits offered by this job

Competitive salary & benefits

Career growth opportunities

Supportive work environment

Job summary

Access Healthcare in the Philippines is seeking Registered Nurses (PHRN) with 2 years of bedside experience to join our growing healthcare BPO team in Pasay City. You will review patient records, handle denials, process reviews, and assist with appeals and authorization requests.

Onsite work is required, and ASAP availability is preferred to support a fast-growing operation. Ideal candidates hold a valid PHRN license with hospital bedside exposure across OR/ER/ICU/PACU/ward, and/or experience in

Qualifications

• Active Philippine Registered Nurse (PHRN) license.
• Hospital bedside experience in OR, ER, ICU, PACU, ward or post-operative care.
• BPO/denials-related experience is a plus but not required.
• Willing to work onsite in Pasay City.
• ASAP start is preferred.

Responsibilities

• Review patient medical records and clinical documents.
• Handle medical denials and prepare appeal letters.
• Process clinical reviews and surgery authorization requests when needed.
• Ensure accurate billing and proper documentation.
• Coordinate with internal teams to resolve denied claims.
• Monitor denial trends and help improve the appeals process.

Skills

PHRN license

Bedside nursing

Experience in BPO (advantage)

Job description

Access Healthcare is looking for Registered Nurses (PHRN) with 2 years experience in Acute Bedside to join our growing team! If you have hospital experience and want to build your career in the healthcare BPO industry, this is a great opportunity for you.

What You'll Do

• Review patient medical records and clinical documents.




• Handle medical denials and prepare appeal letters.




• Process clinical reviews and surgery authorization requests when needed.




• Ensure accurate billing and proper documentation.




• Coordinate with internal teams to resolve denied claims.




• Monitor denial trends and help improve the appeals process.

Qualifications

• Active Philippine Registered Nurse (PHRN) license.




• Hospital bedside experience in OR, ER, ICU, PACU, General Ward, or Post-Operative Care.




• Experience in a healthcare BPO (Insurance, Denials & Appeals, Utilization Review, Prior Authorization, Medical Coding, etc.) is an advantage but not required.




• Willing to work onsite at Pasay City.




• Can start ASAP.

Why Join Us?

• Competitive salary and benefits.




• Career growth opportunities.




• Supportive work environment.




• Be part of a fast‑growing healthcare team.