Job Openings UR Intake Support Nurse

About the job UR Intake Support Nurse

WHAT IS NEXT IN YOUR CAREER IN 2022?


Would working as a pioneer in a leading US company, growing their operations in the Philippines, spark your interest? Are you looking for a position with tremendous growth potential?
Our US-based client, a premier multiline worldwide claims services provider, is looking for Licensed Philippine Nurses to be part of their initial team at their first Philippine-based site. The role will provide intake support to utilization management (UM) Nurses and clients for worker’s compensation (WC) claims.

Primary Duties and Responsibilities:
• Process incoming requests for authorization by entering key information including
CPT and ICD-10 codes into the UR system
• Verify compensability of requested treatment by reviewing claims notes
• Ensuring that all demographic information regarding injured worker, requesting
provider, attorneys and claims staff is correct in UR system
• Handling protected health information consistent with department and company
policies and regulatory requirements
• Attend training/educational classes as appropriate.
• Perform other duties and responsibilities as deemed necessary and assigned.

Qualifications:
• An active Nursing license in the Philippines
• Experience in US Healthcare and Worker’s Compensation preferred
• Must possess demonstrated knowledge of ICD-10 codes and utilization review
process
• Must possess good written and oral communications skills, organizational skills;
be proficient in decision making, problem solving, and time management.
• Typing speed of >45 words per minute preferred.
• Ability to multitask in a fast-paced environment
• Proficient in MS Outlook, Word and Excel and general computer literacy, working
with dual screens·
• Willing to work any assigned shift during a work week in Makati City

EARN AS MUCH AS 48K*