Clinical Appeals - Quality Analyst PHRN/USRN (Temporary WFH)

Temporary WFH setup w/ SOB - 20k for PHRNs and 30k for USRNs *terms and conditions applyNon-negotiable Qualifications:Must have an active PHRN/USRN licenseMust have at least 1 year of QA experience in Clinical Appeals in a BPO or hospital setting (utilization review acceptable for PHRNs)Knowledgeable in medical terminology, anatomy, and physiologyWith experience in reviewing pre/post-service denials, medical necessity reviews, and completing appeals and/or coordinating peer-to-peer reviews.Understanding of healthcare regulations and complianceExcellent English comms skillsFast and stable internet connection - at least 50 MbpsWilling to work the night shiftAmenable to work on a temporary WFH setup (Pasig - Must be residing within Metro Manila or near area)