PHRN – Appeals & Denials Nurse Specialist
MetHealth
Job Description
Benefits
Employee Recognition and Rewards
Performance Bonus, Employee of the Month Award
Insurance Health & Wellness
HMO
Professional Development
Job Training, Professional Development
Time Off & Leave
Birthday Leave
Description
- Call Management Expertise: Handle all incoming and outgoing calls with professionalism, ensuring patient questions are addressed thoroughly and respectfully.
- Accurate Appointment Handling: Schedule, verify, and update appointments efficiently, while informing patients of necessary paperwork or health-related preparations.
- Insurance Verification: Assist with insurance checks and serve as a liaison between patients and billing or insurance departments for smooth issue resolution.
- Compassionate Service Delivery: Prioritize excellent customer service through attentive, empathetic communication, ensuring each patient leaves with a solution.
- Team-Driven Operations: Coordinate effectively across internal teams (Sales, Ops, Logistics) and with external contacts to optimize patient services and workflow.
Requirements
- Active PRC license is a must
- At least 1 year of clinical experience in any acute care unit (e.g., ICU, ER, NICU, PACU, CCU, Trauma, Burn Care, Med-Surg)
Kirby Del Poso
OwnerMetHealth
Active within three days
Working Location
Pasig City. Pasig City, Metro Manila, Philippines
Posted on 24 June 2025
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