Optum Makati - Call Center Nurse | Temporary Work At Home
21F Tower 2, One Ayala, Ayala Avenue, Makati, Metro Manila, Philippines
Job Pitch
Call Center Nurse | Temporary Work At Home
Job Description
ROLE AND RESPONSIBILITIES
- 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.
QUALIFICATIONS
- 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
- Quarterly Incentive
- Retirement Plan
- 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
- Employee Recognition
- 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.
Skills Required
- Strong Communication Skills
- Positive Attitude
- Empathetic to Customers
- Attention to Detail
- Open to Flexible Schedules
- Calm Under Pressure
- Analytical Skills
- Problem Solving Skills
Qualification Required
- College Graduate
