Phrn/Usrn Trainer

Bachelor's Degree in Nursing with an Active and Valid License (PHRN) - 2 Year(s) Experience in

Utilization Management and Medical Necessity Approval(s) and Denial(s) with at least 1 Year(s)

Minimum Experience in a Similar Role or Function (Trainer, Learning Specialist, and Other Related

Role(s) with Similar Function(s) are Considered)

Experience in a Hospital Setting or Other Clinical Environment (Contact Center Setting), Familiarity

with Medicare Rule(s), Regulation(s), and Guideline(s) Including Coverage Criteria and Coding

Principle(s), Experience in Handling Appeal(s), Utilization Review, or Related Healthcare Management

Function(s), Excellent Verbal and Written Communication Skills are Essential for Preparing Appeal

Argument(s) and Communicating with Different Stakeholder(s), Ability to Analyze Complex Medical

Information and Identify Relevant Clinical Issue(s)

Job Type: Full-time

Pay: Up to Php60,000.00 per month

Application Question(s):

• Familiarity

with Medicare Rule(s), Regulation(s), and Guideline(s) Including Coverage Criteria and Coding
Principle(s),

• Hospital Setting or Other Clinical Environment (Contact Center Setting)

Education:

• Bachelor's (Required)

Experience:

• pharmacy technician, claims processor, provider services: 1 year (Required)
• Handling Appeal(s), Utilization Review: 1 year (Required)
• Utilization Management: 1 year (Required)
• Medical Necessity Approval(s) and Denial(s: 1 year (Required)
• Trainer: 1 year (Required)

Location:

• Pasig (Required)

Work Location: In person