Job Description
We are hiring for a CLINICAL DENIALS & APPEALS Specialist for a client based in BGC Taguig.
This is an Onsite work following a Nightshift schedule.
Salary is up to ₱75,000.00based on experience.
Non-Negotiable Requirements:
- Must have 1 yr of Appeals Writing and 3 yrs of Clinical experience and must either be a PHRN or USRN
- Clinical: 3–5 years acute care + 2–3 years ICU
- Education: BS Nursing
- Licensure: Active PHRN or USRN
- RCM: InterQual/MCG + US payer/regulations knowledge
- Systems: EMR (Epic, Cerner, Meditech)
- Communication: English proficiency (CEFR B2+)
Other Requirements:
- Experience supporting international BPO clients
- Familiarity with ATS tools and recruitment metrics
Key Responsibilities:
- Denials and Appeals Management
- Work denials an...