(ACTIVE) PHRN - Grievance & Case Appeals | Hybrid after Training in Taguig

• Must be a PHRN with an active Philippine nursing license.

  
  



• Must have an active Registered Nurse (RN) license.

  
  



• At least 1 year of experience handling grievance and case appeals.

  
  



• Experience in a back-office/non-voice healthcare process is required.

  
  



• Willing to work on a night shift schedule.

  
  



• Willing to attend full onsite training.

  
  



• Once in production, must be willing to work onsite 2x per week.

  
  



• Must demonstrate stable employment history. Candidates with frequent job changes, particularly multiple roles lasting less than one year, may not be considered.

  
  

Key Responsibilities

• Review and evaluate healthcare-related grievances and case appeals.

  
  



• Analyze case information, medical documentation, and supporting records.

  
  



• Ensure cases are handled accurately and in accordance with established guidelines and procedures.

  
  



• Prepare appropriate documentation and case resolutions.

  
  



• Maintain confidentiality of patient and case information.

  
  



• Meet established quality, productivity, and turnaround-time requirements.

  
  



• Coordinate with relevant teams when additional information or clarification is required.

  
  

Recruitment Process

Qualified candidates will undergo the following process:

1. Talkpush Validation

   
   



2. Talkscore

   
   



3. Account Exam

   
   



4. HR Interview

   
   



5. Operations Interview

   
   



6. Job Offer

   
   

Prescreening Information

Recruiters should capture the following information during prescreening:

• PHRN license validity date:

  
  



• Years of experience in grievance and case appeals:

  
  



• Educational attainment:

  
  



• Salary expectation:

  
  



• Last drawn salary:

  
  



• Notice period:

  
  



• Availability for the required work setup and night shift schedule:

  
  



• Current location:

  
  

Important Work Setup Details

Training: 100% onsite

Production: Hybrid – 2 days onsite per week

Shift: Night shift

Target Start Date: October 13, 2026