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  • Analyze and determine eligibility for medical claims
  • Coordinate with providers and specialists in assessing validity of claims
  • Inform patients of the result of validation of claims and gather additional documents necessary to support claims
  • Ensure that medical treatments are of high quality, cost effective, and appropriate for the diagnosis

Qualifications:

  • A graduate of BS Nursing
  • Holder of Active USRN license (any US Mainland State)
  • At least 2 years hospital experience, surgical experience an advantage
  • Above average English skills
  • Computer navigation skills, familiar with MS Word and Excel
  • Willing to work on night shift schedule (weekends off)

Skills Requirement:

  • Professionalism Skills
  • Surgery

Benefits:

  • Salary and Allowances P47,000 to 50,000 per month
  • HMO Benefit
  • Night differential pay
  • Performance bonus
Job Overview
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