UR Intake Nurse (PHRN) | Up to 48k | Hybrid work set up after onsite training

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

Job summary

Gallagher Bassett, a premier multiline worldwide claims services provider, is seeking Licensed Philippine Nurses for our first Philippine-based site in Makati. The role will provide intake support to utilization management for workers compensation claims, with a monthly salary of up to PHP 48,000.

Primary duties include authorizing requests, verifying treatment eligibility, and maintaining accurate demographic and claim information.

Qualifications

• 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.

Responsibilities

• Process incoming requests for authorization by entering key information into the UR system (CPT/ICD-10 codes).
• Verify compensability of requested treatment by reviewing claims notes.
• Ensure accurate demographic information for injured workers, providers, attorneys, and claims staff.
• Handle protected health information per policy and regulatory requirements.
• Attend training/educational classes as appropriate.
• Perform other duties and responsibilities as deemed necessary.

Skills

Nursing license (Philippines)

US Healthcare experience

Written & verbal communication

Time-management

Typing 45+ wpm

Multitasking

MS Outlook/Word/Excel

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, 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.