Clinical Appeals RN Jobs at Optum in Makati, Metro Manila
Company Optum is offering job opportunities for the position of Clinical Appeals RN in the Makati area. The job type available is Full-time.
We are looking for candidates who possess skills with beginners/seniors experience. We value honesty, discipline, and responsibility in our employees.
Optum operates in the (according to the company) industry. If you are interested in applying to this company, please proceed with your application.
Job Information
| Company: | Optum |
| Position: | Clinical Appeals RN |
| Region: | Makati - Metro Manila, Metro Manila |
| Education: | Confidential |
| Salary: | PHP 14.700 - PHP 45.000 per Month |
| Job Type: | Full-time |
Job Description
As a Clinical Appeals RN, you will be responsible for reviewing and evaluating denied healthcare claims to determine the appropriate appeal action. You will work closely with healthcare providers, payers, and patients to gather additional information, analyze medical records, and prepare appeal documentation.
Key responsibilities include assessing medical necessity, coding accuracy, and compliance with various regulations. The role requires a strong understanding of clinical guidelines, insurance policies, and appeal procedures. Strong communication skills and attention to detail are essential.
Benefit
- Overtime bonus
- Gaining experience
- Comfortable work environment
Application Requirements
- Physically and mentally healthy
- Minimum age of 17 years
- Disciplined and punctual
- Honest and responsible
- Good personality
- Enthusiasm in working and learning
- For other requirements, please check through the job form.
Company address
| Province | Metro Manila |
| City | Makati |
| Full Address | 18th to 21st Floor, West Tower, Optum Makati, One Ayala, Ayala Ave, Makati, Philippines |
| Google Map | Google Map |
Job Application Information
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