CLINICAL DENIALS & APPEALS Specialist_Onsite_Nightshift_BGC_Up to 75k

We are hiring for a CLINICAL DENIALS & APPEALS Specialist for a client based in BGC Taguig.

This is an Onsite work following a Nightshift schedule.

Salary is up to ₱75,000.00based on experience.

Non-Negotiable Requirements:

• Must have 1 yr of Appeals Writing and 3 yrs of Clinical experience and must either be a PHRN or USRN
• Clinical: 3–5 years acute care + 2–3 years ICU
• Education: BS Nursing
• Licensure: Active PHRN or USRN
• RCM: InterQual/MCG + US payer/regulations knowledge
• Systems: EMR (Epic, Cerner, Meditech)
• Communication: English proficiency (CEFR B2+)

Other Requirements:

• Experience supporting international BPO clients
• Familiarity with ATS tools and recruitment metrics

Key Responsibilities:

• Denials and Appeals Management
• Work denials an...

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