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
High response rate
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
Explore similar jobs
View more similar jobsCustomer Service Representative
UNIX Surplus OPCДин26.3-35K[Monthly]
On-site - Davao del Sur1-3 Yrs ExpBachelorFull-time
Vir MaHR Manager
Customer Service Representative
Synlink Recruitment Outsourcing Co. Inc.Дин35-43.8K[Monthly]
On-site - Davao del SurNo Exp RequiredHigh/Senior High SchoolFull-time
Giro CuevasHR Officer
Hiring for PHRNs | Join our Healthcare Program in Davao
Sutherland PhilippinesДин43.8-70K[Monthly]
On-site - Davao del Sur<1 Yr ExpBachelorFull-time
Irene NuguidLead
Customer Service Representative
Neksjob PhilippinesДин35-52.5K[Monthly]
On-site - Davao del SurNo Exp RequiredHigh/Senior High SchoolFull-time
Neksjob CyanSourcing Specialist
Customer Service Representative
JetSon Manpower AgencyДин35K[Monthly]
On-site - Davao del SurNo Exp RequiredHigh/Senior High SchoolFull-time
Kiven BlasHR Officer
Sutherland Philippines
>1000 Employees
BPO & Call Center
View jobs hiring
Sign In to Chat with Boss
Bossjob Safety Reminder
If the position requires you to work overseas, please be vigilant and beware of fraud.
If you encounter an employer who has the following actions during your job search, please report it immediately
- withholds your ID,
- requires you to provide a guarantee or collects property,
- forces you to invest or raise funds,
- collects illicit benefits,
- or other illegal situations.