UR Intake Nurse (PHRN)

Genfinity; Hinoba-an; On-site; PHP 487,000 - 584,000; Full time

Job summary

Genfinity Philippines, Inc. is seeking licensed Philippine nurses to join our first Philippine-based site in Makati. The role provides intake support to utilization management for workers' compensation claims and offers opportunities for growth and professional development.

Ideal candidates hold an active PH nursing license, have US healthcare experience, strong written and oral communication skills, and can multitask in a fast-paced environment with flexible shifts.

Qualifications

• Active nursing license in the Philippines.
• Experience in US Healthcare.
• Excellent written and oral communication skills.
• Organized with strong time-management abilities.
• Typing speed >45 wpm preferred.
• Able to multitask in a fast-paced environment.
• Willing to work any assigned shift in Makati City.
• Workers Compensation background preferred but not required.

Responsibilities

• Process requests for authorization by entering CPT/ICD-10 into UR system.
• Verify compensability of requested treatment by reviewing claims notes.
• Ensure accuracy of demographic information in UR system.
• Handle protected health information per policy and regulatory requirements.
• Attend training/educational classes as appropriate.
• Perform other duties as deemed necessary.

Skills

Nursing license Philippines

US Healthcare experience

Communication skills

Time management

MS Outlook/Excel basics

Tools

MS Outlook

MS Word

MS Excel

Job description

Are you looking for a position with tremendous growth potential?

Gallagher Bassett, a premier multiline worldwide claims services provider, is looking for Licensed Philippine Nurses to be part of their team at their first Philippine-based site. The role will provide intake support to utilization management (UM) to nurses and clients for workers compensation (WC) claims.

EARN AS MUCH AS 48K

Primary Duties and Responsibilities:

• Process incoming requests for authorization by entering key information including CPT and ICD-10 codes into the UR system.
• Verify compensability of requested treatment by reviewing claims notes.
• Ensuring that all demographic information regarding injured workers, requesting provider, attorneys and claims staff is correct in the UR system.
• Handling protected health information consistent with department and company policies and regulatory requirements.
• Attend training/educational classes as appropriate.
• Perform other duties and responsibilities as deemed necessary and assigned.

Qualifications:

• An active Nursing license in the Philippines
• Experience in US Healthcare
• Must possess good written and oral communications skills
• Organized with excellent decision-making and time-management skills
• Typing speed of >45 words per minute is preferred.
• Ability to multitask in a fast-paced environment
• Proficient in MS Outlook, Word and Excel with general computer literacy
• Willing to work any assigned shift during a work week in Makati City
• Preferably with Workers Compensation background and knowledgeable in ICD-10 codes and utilization review process, but not required

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, or any other characteristic protected by law.

Genfinity as an Equal Opportunity Employer, believes in each person's potential, and we'll help you achieve yours.

All information will be kept confidential according to EEO guidelines.

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This information will be collected and processed solely for recruitment purposes, including evaluating your qualifications, assessing your skills, verifying your background, and contacting you about your application. As part of the recruitment process, identity verification may be conducted at a later stage i.e. post-offer stage, which may require the collection and review of valid identification documents. Your personal data will be processed in accordance with the Data Privacy Act of 2012.

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