PHRN (Prior Authorization/Eligibility & Benefits) | Kickstart your 2026!

WITH SIGNING BONUS!*

Setup: On-site in Ortigas, Pasig Schedule : Shifting schedule (predominantly night shift)

Role Requirements

• Must have an active PHRN license
• With BPO experience, at least 1 year in prior authorization OR 1 year eligibility, claims, and benefits (payer)
• Good English communication skills
• Knowledge of healthcare regulations and compliance
• Ability to work independently and as part of a team
• Start date : Jan. 29, 2026

* Signing bonus - Terms and conditions apply

Responsibilities

Coverage and Access Specialist (PHRN)

• Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs, and Bridge Eligibility Checks) and coverage exception follow-up calls (Prior Authorization (PAS), Non-Formulary Exceptions (NFEs,) a...