Registered Nurse (PHRN)

HRTX; Philippines; On-site; PHP 360,000 - 480,000; Full time

Benefits offered by this job

Competitive salary

HMO coverage

Paid training

Career growth

Job summary

HRTX in the Philippines is seeking a Philippine-licensed Registered Nurse (RN) to join our growing healthcare BPO team. The successful candidate will leverage clinical expertise to provide high-quality support to patients, healthcare providers, and insurance partners in a professional and efficient manner.

This role offers the opportunity to apply clinical background in a dynamic corporate setting while developing new skills in healthcare operations and customer engagement, with the possibility

Qualifications

• Must be a Philippine-licensed RN (PRC).
• Includes at least 1 year of clinical experience in hospital/clinic settings.
• Experience in a BPO healthcare account is a plus but not required.

Responsibilities

• Handle inbound and outbound calls, emails, or chats related to healthcare services, insurance verification, medical claims, utilization review, or case management.
• Review, evaluate, and process clinical information according to policies and medical guidelines.
• Coordinate with healthcare professionals, patients, and internal teams for accurate communication and timely resolutions.
• Document interactions accurately and maintain confidentiality per HIPAA and privacy policies.
• Assist in preauthorization, coding support, benefits eligibility, or other healthcare processes as account requires.
• Participate in quality assurance and continuous process improvement initiatives.

Skills

English communication

Interpersonal skills

Attention to detail

Multitasking

Education

Registered Nurse (PRC license)

Tools

MS Office

EMR systems

Job description

We are seeking a Philippine-licensed Registered Nurse to join our growing healthcare BPO team. The successful candidate will leverage clinical expertise to provide high-quality support to patients, healthcare providers, and insurance partners in a professional and efficient manner. This role is ideal for nurses who wish to apply their clinical background in a dynamic corporate setting while developing new skills in healthcare operations and customer engagement.

Key Responsibilities:

• Handle inbound and outbound calls, emails, or chats related to healthcare services, insurance verification, medical claims, utilization review, or case management.
• Review, evaluate, and process clinical information according to established policies and medical guidelines.
• Coordinate with healthcare professionals, patients, and internal teams to ensure accurate communication and efficient resolution of cases.
• Document all interactions accurately and maintain confidentiality in compliance with HIPAA and company data privacy policies.
• Assist in preauthorization, medical coding support, benefits eligibility, or other specialized healthcare processes (depending on account).
• Participate in quality assurance activities and continuous process improvement initiatives.
• Maintain an up-to-date understanding of medical terminologies, procedures, and healthcare documentation standards.

Qualifications:

• Must be a Registered Nurse (RN) in the Philippines, with a valid PRC license.
• At least 1 year of clinical experience in a hospital, clinic, or similar healthcare setting (e.g., bedside, outpatient, emergency, etc.).
• Preferably with experience in a BPO healthcare account (utilization management, claims review, prior authorization, etc.), but not required.
• Strong English communication and interpersonal skills.
• Excellent attention to detail and documentation accuracy.
• Proficient in MS Office applications and comfortable working with multiple systems or EMR platforms.
• Willing to work on night shifts, weekends, or holidays as needed.

What We Offer:

• Competitive salary and performance incentives.
• HMO coverage for employee and dependents.
• Paid training and continuous learning opportunities.
• Career growth and promotion pathways within the healthcare BPO industry.