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PHRN Care Management Associate

Company

MetHealth

Location

taguig, Philippines

Type

Full-time

On-site - Taguig 1-3 Yrs Exp Bachelor Full-time

Job Description

Employee Recognition and Rewards

Performance Bonus

Government Mandated Benefits

Insurance Health & Wellness

Health Insurance, Life Insurance, HMO

Others

Company Social Events

Job Requirements

  • Active Registered Nurse or Active Licence Pharmacist
  • At least 1 year of BPO Clinical / Healthcare experience or
  • 1 year of Bedside / Hospital Experience

Job Responsibilities

  • Answer inbound calls from patients, healthcare providers, and insurance members.
  • Explain health benefits, coverage details, and medical policies.
  • Assist with prior authorizations and claims status inquiries.
  • Review medical records and documentation as needed.
  • Provide basic health education and clinical guidance within scope.
  • Document all interactions accurately i...

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