UR Intake Nurse (PHRN)

Genfinity Philippines, Inc.; Quezon City; On-site; PHP 487,468 - 583,891; Full time

Job summary

Gallagher Bassett is seeking Licensed Philippine Nurses for their first Philippine-based site in Quezon City. This role involves providing support to utilization management for workers compensation claims, including processing authorizations and verifying treatment compensability.

The ideal candidate will have an active nursing license in the Philippines, US healthcare experience is a plus, along with strong communication and decision-making skills. The position offers a competitive pay of up to 48K.

Qualifications

• Must possess an active Nursing license in the Philippines.
• Experience in US Healthcare is an advantage.
• Proficient in MS Office and general computer literacy required.

Responsibilities

• Process incoming requests for authorization in the UR system.
• Verify treatment compensability by reviewing claims notes.
• Ensure accuracy of demographic information in the UR system.

Skills

Good written and oral communication skills

Time-management skills

Ability to multitask

Typing speed > 45 words per minute

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.

All information will be kept confidential according to EEO guidelines.