Offer summary

Qualifications:

Current and valid PHRN license, Good working knowledge of US Healthcare Insurance, Strong knowledge of prehospital patient care protocols and regulatory requirements, Excellent attention to detail and analytical skills..

Key responsabilities:

Review daily census for the facility and send discharge notifications for HMO patients

Correspond with the facility and case management regarding admissions and discharges

Monitor the level of HMO residents and ensure requests are correct

Complete additional clinical tasks as assigned.

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

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?