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PHRN Taguig Hybrid

Talentmate

Philippines

9th September 2026

2609-41192-54

Job Description

Work Setup: Training is full onsite; once in production, 2x a week onsite (Taguig)

Start Date: Sept 15, 2026

Requirements:

PHRN with Active license
Must have at least 1 year grievance & case appeals experience
Back-office (Non-voice)

Responsibilities:

Clinical Review & Documentation: Analyzing medical records for accuracy, compliance, and appropriateness of care.
Claims Processing: Determining patient eligibility, validating medical claims, and managing insurance coverage.
Utilization Management: Reviewing treatment plans against medical policies to ensure cost-effective care.
Case Management & Liaison: Communicating with healthcare providers and patients to facilitate care and resolve inquiries.

Job Details

Role Level:	Entry-Level	Work Type:	Full-Time
Country:	Philippines	City:	Taguig Metro Manila
Company Website:	http://www.tasq.work	Job Function:	Healthcare & Medical Services
Company Industry/ Sector:	Staffing and Recruiting

What We Offer

About the Company

Searching, interviewing and hiring are all part of the professional life. The TALENTMATE Portal idea is to fill and help professionals doing one of them by bringing together the requisites under One Roof. Whether you're hunting for your Next Job Opportunity or Looking for Potential Employers, we're here to lend you a Helping Hand.

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