PHRN Care Management Associate

On-site - Taguig 1-3 Yrs Exp Bachelor Full-time

Job Description

Employee Recognition and Rewards

Performance Bonus

Government Mandated Benefits

Insurance Health & Wellness

Health Insurance, Life Insurance, HMO

Others

Company Social Events

Job Requirements

• Active Registered Nurse or Active Licence Pharmacist
• At least 1 year of BPO Clinical / Healthcare experience or
• 1 year of Bedside / Hospital Experience

Job Responsibilities

• Answer inbound calls from patients, healthcare providers, and insurance members.
• Explain health benefits, coverage details, and medical policies.
• Assist with prior authorizations and claims status inquiries.
• Review medical records and documentation as needed.
• Provide basic health education and clinical guidance within scope.
• Document all interactions accurately i...