PHRN Clinical Auditor

at ISTA Solutions
  • Remote - Philippines

Remote

All Others

Mid-level

Job description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Clinical Auditor to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We’re looking for a team player who is ready to contribute to our mission, just like you!

Account specific roles and responsibilities:

  • Review census daily for the facility and send out discharge notification on HMO patients

  • Send out clinical for your facility HMO patients

  • Review Navihealth discharge records for the facility and upload via the portal

  • Correspond with the facility and CM regarding admissions, discharges, missing notes, etc.

  • Complete any additional clinicals that are assigned to you

  • Monitor the level of HMO residents and ensuring that the requests is correct for each resident

  • Current and valid PHRN license

  • Good working knowledge with US Healthcare Insurance

  • Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements.

  • Excellent attention to detail and analytical skills.

  • Good verbal and written English skills

  • Ability to work independently and collaboratively in a team-oriented environment.

  • Commitment to continuous learning and professional development.

  • Must be residing within GMA (Greater Manila Area)

  • Willing to work on shifting schedule (weekdays and weekends)

What can we offer you?

  • Competitive salary and benefits
  • Health Insurance with free dependents*
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our commitment to you

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all inclusive environment where everyone thrives
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