PHRN (Hybrid) | MOA Pasay

Work Setup: 5 months to work on-site, Work from Home afterwards

Work Location: MOA, Pasay

Start Date: October 19, 2026

Qualifications:

• Active PRC
• At least 1 year hospital bedside experience

Responsibilities:

• Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.
• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality
• Data gathering requires navigation through multiple system applications.