TASQ Staffing Solutions is looking for a Clinical Appeals PHRN - Quality Analyst in Pasig.
License/Certification Requirement: PHRN
Work Arrangement: Temp WFH, hybrid or onsite
Training: Temporary WFH
Qualifications
- Clinical Appeals QA: 1 year (Required)
- Knowledgeable in medical terminology, anatomy, and physiology
- With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or coordinating peer to peer reviews.
- Understanding of healthcare regulations and compliance
Qualified applicants can anticipate receiving interview communications within 24-72 business hours, typically through a phone call. In the event that the initial call is missed, a follow-up text or email will be sent to schedule an alternative interview time. Interviews can be conducted using platforms like Zoom, Skype, WhatsApp, or Teams upon request.
