A PHRN - Clinical Denials and Appeals reviews denied insurance claims, analyzes the reasons for denial, and prepares appeals using their clinical expertise. They gather medical documentation, work with healthcare providers, and submit appeals to insurance companies, ensuring the care provided meets medical necessity criteria. This role involves clear communication with insurers to dispute denials and advocate for claim approval.
Work Setup:
Work onsite - BGC Taguig
Graveyard shift - 9PM to 6AM
Weekends off
Salary and Benefits:
Package - 40,000 to 55,000
10% Night differential
Gienel Dela Puerta
Stark Asia Solutions Inc.HR Talent and Culture
Active today
Taguig. Taguig, Metro Manila, Philippines
Posted on 22 October 2024
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