UR Intake Nurse (PHRN)

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

Job summary

Gallagher Bassett in Makati, Philippines, is seeking Licensed Philippine Nurses to provide intake support to utilization management for workers compensation claims. You will enter CPT/ICD-10 data, verify claim details, and ensure accurate demographics while handling protected health information.

Training is provided, and shifts in Makati are required. Ideal candidates hold a Philippine nursing license, have US healthcare experience, and possess strong communication, organization, and

Qualifications

• Active Nursing license in the Philippines.
• Experience in US Healthcare preferred.
• Strong written and oral communication skills.
• Organized with good time-management.
• Typing speed >45 wpm preferred.
• Able to work shifts in Makati City.
• Knowledge of ICD-10 and utilization review is a plus.

Responsibilities

• Process authorization requests by entering CPT/ICD-10 into UR system.
• Verify treatment eligibility by reviewing claims notes.
• Ensure accurate demographic data in UR system.
• Handle protected health information per policy.
• Attend training and perform additional duties as needed.

Skills

US Healthcare experience

Written and verbal communication

Time management

Typing speed >45 wpm

Multitasking

Education

Nursing license (Philippines)

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