USRN Opportunity with ₱150,000 Sign-On Bonus | Healthcare Program | Davao
Sutherland Philippines
Job Description
Description
How You’ll Make an Impact:
- Review medical records in relation to the services billed on claims
- Collaborate with Medical Directors to obtain determinations where medical necessity is unclear
- Coordinate referrals from non-clinical staff for clinical case reviews
- Ensure claims adhere to all regulatory requirements before final processing
- Handoff cases back to non-clinical staff for letter creation and claim adjustments
Requirements
Key strengths for this role:
- Must be a college graduate
- Active license or certification for USRN
- Basic knowledge of troubleshooting and computer navigation
- Background in clinical review or medical claims processing
- Willing to work onsite
- Must be residing in DAVAO
Irene Nuguid
LeadSutherland Philippines
More than ten replies today
Working Location
Luisa Square, IT Building, Sutherland Global Services. Luisa Square, IT Building Villamor St, Corner Emilio Jacinto Ext, Davao City, 8000 Davao del Sur, Philippines
Posted on 23 July 2025
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