UM Nurse & Clinical Appeals Specialist (PHRN)
Cognizant Softvision, LLC
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Job summary
Cognizant Softvision, LLC in the Philippines is seeking a licensed Philippine Registered Nurse to contribute to Utilization Management and related healthcare operations, with at least 1 year of UM/UR/clinical appeals or medical coding experience.
The role values bedside nursing experience and ability to review medical records; background in healthcare back-office or BPO is a plus; we value strong analytical, documentation, and communication skills.
Qualifications
- PHRN license required.
- Minimum 1 year experience in UM/UR/clinical appeals, medical coding, or healthcare operations.
- Minimum 1 year bedside nursing or clinical experience.
- Experience reviewing medical records or healthcare documentation is advantageous.
- Background in healthcare back-office or healthcare BPO operations preferred.
- Strong analytical, documentation, and communication skills.
Skills
Education
Job description
Cognizant Softvision, LLC in the Philippines is seeking a licensed Philippine Registered Nurse to contribute to Utilization Management and related healthcare operations, with at least 1 year of UM/UR/clinical appeals or medical coding experience.
The role values bedside nursing experience and ability to review medical records; background in healthcare back-office or BPO is a plus; we value strong analytical, documentation, and communication skills.
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