
PH USRN - Prior Authorization Nurse
Job Description
Key Skills
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Job title: PH USRN Authorization Nurse
Work set up: Onsite in BGC Taguig
Work shift: Night shift
Budget: 40K - 60K package (4-6 yrs)
Headcount: 1
Job Description:
The Prior Authorization Nurse (USRN) will support the review and submission of prior
authorization requests for behavioral health treatments, medications, or services. The nurse will review clinical documentation to ensure accuracy and medical necessity, complete required payer forms, and work closely with administrative support staff to track and follow up on all submitted requests.
Key Responsibilities
ï‚· Review patient records and provider notes to validate clinical necessity
ï‚· Escalate cases appropriately to medical director
ï‚· Complete prior authorization forms and submit to payers via online portals or fax
ï‚· Coordinate with support staff to gather documentation and verify benefits
ï‚· Follow up on status of submitted requests and escalate delays appropriately
ï‚· Maintain documentation accuracy and compliance with turnaround time requirements
Requirements
ï‚· Active USRN license, based in the Philippines
ï‚· Minimum 4 years of experience in utilization management, prior authorization
ï‚· Familiarity with U.S. healthcare and payer systems
ï‚· Detail-oriented with strong communication and documentation skills
ï‚· Immediate joiners
ï‚· Must not be a former or current employee of the client
ï‚· Can work onsite in BGC Taguig
Role
US Registered Nurse
Timings
Night Shift (Permanent)
Industry
BPO
Work Mode
Work from office
Process
Non-Voice
Functional Area
ITES / BPO / Customer Service
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.

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