Initial screening and review prior to medical necessity review.
Prepare cases for USRNs for a 2nd level review and renders administrative decision if clinical review is not needed based on the review guidelines and member benefits.
Responsible for informing providers via phone (if required) and/or mail of the decision of the prior authorization requests.
Holder of active PHRN license
Prior BPO experience an advantage but not required
Both PHRN Freshers and Experienced are welcome to apply
Amenable for night shift schedule (9pm to 6pm)
Should be willing to commit for long term employment (Ex. Has no plans to take NCLEX and has no pending application abroad)
WHAT WE OFFER
Temporary Work At Home (exclusive for CCR Account)
RN Ready Plus Programs for your CPD
Laptop / PC Provided
Fixed Weekends Off
Market Competitive Pay Levels
Medical Plan (HMO) from Day 1 of employment
Dental, Medical, and Optical Reimbursements
Life and Disability Insurance
Paid Time-Off Benefits
Sick Leave Conversion
Tuition Fee Reimbursement
Employee Assistance Program (EAP)
Annual Performance Based Merit Increases
Training and Staff Development
Employee Referral Program
Employee Volunteerism Opportunity
All Mandatory Statutory Benefits
WHO WE ARE
Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 14,000 employees in the Philippines.
Elevate your career with a leading health care company while improving lives.
Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.
Job search made easier right!? You will now begin the Instant Assessment of Optum Makati. They are looking for people like you but will only know about you once you finish the assessment. Those who finish the assessment quickly, are more likely to get hired! Good Luck from the JobYoDA team!