Direct Employer
YOUR SAFETY IS OUR PRIORITY. APPLY NOW AND BE PROCESSED OVER-THE-PHONE FROM INITIAL TO FINAL INTERVIEWS! About the Job The Healthcare Associate role is expected to coordinate the execution and continued quality of the client’s process. Performs assigned duties including administrative process through incorporating client-specific instructions, reviewing patient demographic and plan details. The role must be able to identify details related to member benefits and eligibility, able to recognize and distinguish clinical details from nonclinical. Utilizes resources to seek guidance if needed about – coverage policies, patient database, plan features, and member responsibilities. What we look for Active PRC Nursing license is required 1-2 years BPO or similar experience Knowledgeable in Microsoft Office handling of spread sheets and word processing Can type minimum of 30 wpm with excellent accuracy and good basic navigation skills Good customer service skills, ability to multitask and manage multiple open windows Good interpersonal skills Ability to be detail oriented and be able to work independently Knowledge of insurance industry and coverage policies Must be willing to work in the Philippines and start on August Only candidates with qualifications mentioned above will be contacted. When you #ComeHOMEtoCPO, here’s what you get: Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance! More Time with Family. Above-market & flexible leave days. A Warm, Engaging “All-Clinical” Community. You'll immediately feel the difference. Multiple Pathways to Career Advancement. Don’t get stuck at a job with a low ceiling. You’ll Be Part of a U.S.-Based Global Healthcare Company Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!
Direct Employer
YOUR SAFETY IS OUR PRIORITY. APPLY NOW AND BE PROCESSED OVER-THE-PHONE FROM INITIAL TO FINAL INTERVIEWS! About the Job This role is expected to coordinate the execution and continued quality of the client’s department processes, perform assigned duties including but not limited to telephonic on-line authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing on-line data entry of routine authorizations/denials. Bill Review Claims Assistant / Claims Support Specialist Clinical Abstractor Clinical Data Coordinator Clinical Support Specialist Demand Package Solutions Nurse Review Intake Specialist Medical Coordinator Nurse Review Panel Card Physician Review Prep Nurse Physician Review Service Coordinator Pre-Authorization Representative What we look for Active PRC Nursing license is required Active USRN Texas License Preferably with at least 2 years of combined clinical / hospital bedside care experience and BPO Voice Experience Basic skills in MS Office and Windows based programs Ability to perform effectively in a fast paced environment Excellent verbal and written communication skills in English Must be willing to work in the Philippines and start on August Only candidates with qualifications mentioned above will be contacted. When you #ComeHOMEtoCPO, here’s what you get: Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance! More Time with Family. Above-market & flexible leave days. A Warm, Engaging “All-Clinical” Community. You'll immediately feel the difference. Multiple Pathways to Career Advancement. Don’t get stuck at a job with a low ceiling. You’ll Be Part of a U.S.-Based Global Healthcare Company Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!
Direct Employer
YOUR SAFETY IS OUR PRIORITY. APPLY NOW AND BE PROCESSED OVER-THE-PHONE FROM INITIAL TO FINAL INTERVIEWS! About the Job This role is expected to coordinate the execution and continued quality of the client’s department processes, perform assigned duties including but not limited to telephonic on-line authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing on-line data entry of routine authorizations/denials. Bill Review Claims Assistant / Claims Support Specialist Clinical Abstractor Clinical Data Coordinator Clinical Support Specialist Demand Package Solutions Nurse Review Intake Specialist Medical Coordinator Nurse Review Panel Card Physician Review Prep Nurse Physician Review Service Coordinator Pre-Authorization Representative What we look for Active PRC Nursing license is required Active USRN License (Texas License Required) With minimum 6 months clinical/hospital bedside care experience Basic skills in MS Office and Windows based programs Ability to perform effectively in a fast paced environment Excellent verbal and written communication skills in English Willing for a temporary work-from-home set-up Must be willing to work in the Philippines Only candidates with qualifications mentioned above will be contacted. When you #ComeHOMEtoCPO, here’s what you get: Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance! More Time with Family. Above-market & flexible leave days. A Warm, Engaging “All-Clinical” Community. You'll immediately feel the difference. Multiple Pathways to Career Advancement. Don’t get stuck at a job with a low ceiling. You’ll Be Part of a U.S.-Based Global Healthcare Company Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!
Direct Employer
YOUR SAFETY IS OUR PRIORITY. APPLY NOW AND BE PROCESSED OVER-THE-PHONE FROM INITIAL TO FINAL INTERVIEWS! About the Job This role is expected to coordinate the execution and continued quality of the client’s department processes, perform assigned duties including but not limited to telephonic on-line authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing on-line data entry of routine authorizations/denials. Bill Review Claims Assistant / Claims Support Specialist Clinical Abstractor Clinical Data Coordinator Clinical Support Specialist Demand Package Solutions Nurse Review Intake Specialist Medical Coordinator Nurse Review Panel Card Physician Review Prep Nurse Physician Review Service Coordinator Pre-Authorization Representative What we look for Active PRC Nursing license is required Active USRN License (Preferably Mainland) Preferably with at least 2 years of combined clinical / hospital bedside care experience and BPO Voice Experience Basic skills in MS Office and Windows based programs Ability to perform effectively in a fast paced environment Excellent verbal and written communication skills in English Must be willing to work in the Philippines Only candidates with qualifications mentioned above will be contacted. When you #ComeHOMEtoCPO, here’s what you get: Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance! More Time with Family. Above-market & flexible leave days. A Warm, Engaging “All-Clinical” Community. You'll immediately feel the difference. Multiple Pathways to Career Advancement. Don’t get stuck at a job with a low ceiling. You’ll Be Part of a U.S.-Based Global Healthcare Company Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!
Direct Employer
YOUR SAFETY IS OUR PRIORITY. APPLY NOW AND BE PROCESSED OVER-THE-PHONE FROM INITIAL TO FINAL INTERVIEWS! About the Job This role is expected to coordinate the execution and continued quality of the client’s department processes, perform assigned duties including but not limited to telephonic on-line authorization of routine services, contacting specialty care providers, monitoring patient eligibility, and performing on-line data entry of routine authorizations/denials. Bill Review Claims Assistant / Claims Support Specialist Clinical Abstractor Clinical Data Coordinator Clinical Support Specialist Demand Package Solutions Nurse Review Intake Specialist Medical Coordinator Nurse Review Panel Card Physician Review Prep Nurse Physician Review Service Coordinator Pre-Authorization Representative What we look for Active PRC Nursing license is required Active USRN License (California License Required) Preferably with at least 2 years of combined clinical / hospital bedside care experience and BPO Voice Experience Basic skills in MS Office and Windows based programs Ability to perform effectively in a fast paced environment Excellent verbal and written communication skills in English Must be willing to work in the Philippines Only candidates with qualifications mentioned above will be contacted. When you #ComeHOMEtoCPO, here’s what you get: Competitive compensation, credential-based allowance, performance-based rewards, HMO on Day-1, Group Life Insurance! More Time with Family. Above-market & flexible leave days. A Warm, Engaging “All-Clinical” Community. You'll immediately feel the difference. Multiple Pathways to Career Advancement. Don’t get stuck at a job with a low ceiling. You’ll Be Part of a U.S.-Based Global Healthcare Company Join over 3000+ Clinicians who have trusted us with their careers, making us the largest employer of clinicians outside of hospitals! Come home to Shearwater CPO® - Home of Clinicians!