PHRN (Hybrid) | MOA Pasay

<h2>Work Setup: 5 months to work on-site, Work from Home afterwards</h2><h2>Work Location: MOA, Pasay</h2><h2>Start Date: October 19, 2026</h2><h2>Qualifications:</h2><ul>
<li>Active PRC</li>
<li>At least 1 year hospital bedside experience</li>
</ul><h2>Responsibilities:</h2><ul>
<li>Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.</li>
<li>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</li>
<li>Protects the confidentiality of member information and adheres to company policies regarding confidentiality</li>
<li>Data gathering requires navigation through multiple system applications.</li>
</ul>