USRN/PHRN Specialist (For Pooling)
WNS • , , philippines, , , philippines • Posted June 10, 2026
About the Role
Qualifications:
- Must have an active PRC License
- Must have 1 year hospital or clinical BPO experience
- Preferably with medical reviewer experience
- Excellent Communication skills
Responsibilities:
- Review claim details and demographics data
- Review for procedural and associated codes
- Create analyst template and authorization to be submitted to clinicians
- Complete and resolve cases upon getting clinical decision