About this role
PHRN (Hybrid) | MOA Pasay
Work Setup: 5 months to work on-site, Work from Home afterwards
Work Location: MOA, Pasay
Start Date: October 19, 2026
Qualifications
- Active PRC
- At least 1 year hospital bedside experience
Responsibilities
- Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.
- Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality
- Data gathering requires navigation through multiple system applications.