UR Intake Nurse (PHRN)

Genfinity; Makati; On-site; PHP 487,468 - 583,891; Full time

Job summary

Gallagher Bassett is seeking Licensed Philippine Nurses to join their team at the first Philippine-based site in Makati. The role involves supporting utilization management for workers' compensation claims, requiring an active nursing license and strong communication skills.

Primary duties include processing authorization requests and ensuring accuracy of information in the UR system. Ideal candidates should have US healthcare experience and excellent multitasking abilities. A competitive salary up to 48K is offered.

Qualifications

• Active Nursing license in the Philippines.
• Experience in US Healthcare preferred.
• Strong written and verbal communication skills.
• Excellent decision-making and time-management skills required.
• Typing speed of >45 words per minute is preferred.
• Ability to multitask effectively in a fast-paced environment.
• Proficient in MS Outlook, Word, and Excel.

Responsibilities

• Process requests for authorization in the UR system.
• Verify treatment compensability by reviewing claims notes.
• Ensure correctness of demographic information in the UR system.
• Handle protected health information per regulations.
• Attend necessary training and educational classes.

Skills

Written and oral communications skills

Decision-making skills

Time-management skills

Typing speed > 45 words per minute

Multitasking in a fast-paced environment

Proficiency in MS Outlook, Word, and Excel

Education

Active Nursing license in the Philippines

Experience in US Healthcare

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