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Duplicate entry '6906149' for key 'PRIMARY'




Company Info:

Global Headstart Specialist, Inc.
20th Floor, Unit 2004, 139 Corporate Center, 139 Valero St., Salcedo Village, Makati City, Philippines
Makati City, NCR, Philippines

Phone: 0917-802-2723
Web Site: https://www.globalheadstart.com/

Company Profile





US RN - QC Based - One Day Process ghsjbl

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Location:

Quezon City, NCR

Category:

Customer Service

Salary:

PHP35,000.00 per month
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Employment Type:

Full time

Posted:

12.04.2019

Job Views:

10
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Job Description:

Job Descriptions:
  • Responsible in collaborating with healthcare providers and members
  • Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and may steer members to appropriate providers, programs or community resources
  • Work with medical directors in interpreting appropriateness of care

Job Requirements:

Job Qualifications:
  • BS Nursing Degree
  • Active PRC and US Mainland License
  • 2 years of health-related jobs or 1 year BPO Experience plus 1 year health-related jobs