PHRN Clinical Auditor (WFH) UPT

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

Requirements

  • 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)

Benefits

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

ISTA Solutions is home to rockstar professionals who aim to be engaged in defining and building an employee centric culture, focused on long term success, work-life balance, and life-long learnings. From the industries we support, to the functions we perform, ISTA has structured ourselves differently from other outsourcing companies; effectively setting ourselves apart from the rest of the pack. If you are looking for something new and something different, where you are engaged not only in your own success but in defining and building the culture you want to belong in, you've come to the right place.

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