UR Intake Nurse (PHRN)

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

Job summary

Genfinity is seeking licensed Philippine nurses to join its Makati site, providing intake support to utilization management for workers' compensation claims. You will enter data, verify treatment eligibility, and ensure accurate demographics in the UR system.

Applicants must hold an active nursing license in the Philippines, with US healthcare experience preferred. Strong written and oral communication, along with time management and multitasking, are essential; MS Outlook/Word/Excel proficiency

Qualifications

• Active Philippine nursing license is required.
• Experience in US healthcare is advantageous.
• Strong written and oral communication skills are essential.
• Excellent organization, decision‑making, and time‑management.
• Typing speed >45 wpm preferred.
• Ability to multitask in a fast-paced environment.
• Proficient in MS Outlook, Word and Excel.
• Willing to work any assigned shift in Makati City.
• Workers' Compensation knowledge/ICD‑10 and UR exposure preferred but not required.

Responsibilities

• Process authorization requests by entering CPT and ICD-10 codes into UR system.
• Verify treatment compensability by reviewing claims notes.
• Ensure accurate demographic information for injured workers, providers, attorneys, and claims staff.
• Handle protected health information per policies and regulatory requirements.
• Attend training sessions as appropriate.
• Perform other duties as assigned.

Skills

Written & verbal communication

Time management

Organizational skills

Typing speed 45 wpm+

Multitasking

MS Outlook/Word/Excel

Education

Active Nursing license in the 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

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.