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PHRN Quality Analyst
Omega Healthcare Management Services, Inc.
📍
pasig, Philippines
Location
pasig
Posted
May 28, 2026
Commute
Local Area
Local Opportunity Near You!
This job is in your area. Enjoy a short commute and work close to home.
Job Description
- Prioritize incoming authorization and referral requests according to queue urgency
- Review patient’s clinical and chart documentation related to the service submitted by the provider’s office
- Obtain and/or follow up on authorization and referral requests from the patient’s payer/s through any of the following methods—depending on the payer’s policy:
- Perform outbound calls to payer’s authorization department
- Access payer’s authorization online portal
- Submit faxes to payer’s authorization department
- Respond to payer’s clinical questions to be able to proceed with the authorization and referral requests
- Obtain and/or follow up payer’s peer-to-peer review requirements and send them back to provider’s office for the actual initiation
- Cater inbound calls from payers and perform necessary actions required for the task
- Listen and review voicemail messages from payers then perform necessary actions requir...