Utilization Management Intake Nurse – Workers' Comp

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

Job summary

Genfinity Philippines, Inc. is seeking licensed Philippine nurses to join our first Philippine-based site in Makati. The role provides intake support to utilization management for workers' compensation claims and offers opportunities for growth and professional development.

Ideal candidates hold an active PH nursing license, have US healthcare experience, strong written and oral communication skills, and can multitask in a fast-paced environment with flexible shifts.

Qualifications

• Active nursing license in the Philippines.
• Experience in US Healthcare.
• Excellent written and oral communication skills.
• Organized with strong time-management abilities.
• Typing speed >45 wpm preferred.
• Able to multitask in a fast-paced environment.
• Willing to work any assigned shift in Makati City.
• Workers Compensation background preferred but not required.

Responsibilities

• Process requests for authorization by entering CPT/ICD-10 into UR system.
• Verify compensability of requested treatment by reviewing claims notes.
• Ensure accuracy of demographic information in UR system.
• Handle protected health information per policy and regulatory requirements.
• Attend training/educational classes as appropriate.
• Perform other duties as deemed necessary.

Skills

Nursing license Philippines

US Healthcare experience

Communication skills

Time management

MS Outlook/Excel basics

Tools

MS Outlook

MS Word

MS Excel

Job description

Genfinity Philippines, Inc. is seeking licensed Philippine nurses to join our first Philippine-based site in Makati. The role provides intake support to utilization management for workers' compensation claims and offers opportunities for growth and professional development.

Ideal candidates hold an active PH nursing license, have US healthcare experience, strong written and oral communication skills, and can multitask in a fast-paced environment with flexible shifts.