USRN / PHRN - Appeals and Grievance Specialist
40000 - 47000 PhpGratitude Inc
Job Title: USRN / PHRN - Appeals and Grievance Specialist - Non-Voice - 7 Slots
Company: Confidential
Work Location: Onsite Training / 2x a Week Onsite in Production
Salary: Up to PHP 47,000 Incl. Allowance
Work Setup: Training Full Onsite, Production 2x a Week Onsite
Work Shift: Night Shift
Industry: Healthcare / Nursing
Openings: 7 Slots
Overview:
We are hiring 7 PH Registered Nurses for Grievance and Case Appeals - Back-office / Non-Voice account. Perfect for PHRNs with grievance and appeals experience looking for a non-voice opportunity with hybrid setup after training.
Job Details:
Role: Registered Nurse - Case Appeals and Grievance - Active PHRN
Location: Onsite Training / 2x a Week Onsite in Production
Work Setup: Training Full Onsite, Production Hybrid - 2x a Week Onsite
Work Shift: Night Shift
Salary: Up to PHP 47,000 including license allowance
Headcount: 7 Slots Available
Target Start Date: October 13, 2026
Benefits:
Salary up to PHP 47K including license allowance
Back-office / Non-voice role - No calls, pure back-office work
Training full onsite, then 2x a week onsite once in production
Night shift schedule with hybrid setup in production
7 headcounts open - Start date Oct 13, 2026
Responsibilities:
Handle grievance and case appeals for healthcare members
Review and process cases according to guidelines and compliance standards
Ensure compliance and accurate documentation for all cases
Work on a back-office, non-voice setup and meet quality targets
Qualifications:
PHRN with active license - Active Registered Nurse required
Must have at least 1 year of grievance and case appeals experience
Back-office - non-voice experience preferred
Willing to work on night shift schedule and attend training onsite
Stable work history - Job hoppers who change jobs frequently in less than a year will be rejected
45000 - 47000 Php
...13, 2026 Role Overview We are seeking an active PHRN (Philippine Registered Nurse) to join our team as a Grievance & Case Appeals Specialist. This is a back-office (non-voice) role responsible for reviewing and resolving grievance and case appeals. You will...40000 - 47000 Php
...WE ARE HIRING - PHRN - Grievance and Case Appeals - Night Shift - 47K Max Work Setup: Training is full onsite, once in production 2x a week onsite Work Shift: Night Shift Salary: Up to 47K including license allowance Target Start Date: October 13, 2026 Headcount...45000 - 47000 Php
...Job title: PHRN Work setup: Training is full onsite; once in production, 2x a week... ...Nurse • Must have at least 1 year of grievance & case appeals experience • Back-office (non-voice)... ...to work on night shift schedule and attend training onsite; once in production...- ...Job Title: PHRN – Grievance & Case Appeals Work Setup: Hybrid – Training Fully Onsite; 2 Days/Week Onsite After Production Work Shift: Night... ...Registered Nurse (PHRN) with an active nursing license and at least 1 year of experience handling grievances and case...
40000 - 45000 Php
...opportunity for experienced Registered Nurses with a background in grievance handling and case appeals. Target Start Date: October 13, 2026 Up to ₱47,000... ...REQUIREMENTS: Active Philippine Registered Nurse (PHRN) license At least 1 year of Grievance & Case Appeals...40000 - 47000 Php
...JOB TITLE: Nurse - Case Appeals and Grievance - PHRN Active License - Up to 47K incl. Allowance Location: Onsite Training / 2x a week Onsite in Production Work Setup: Training Full Onsite, Production 2x a Week Onsite Work Shift: Night Shift Salary: Up to PHP...40000 - 47000 Php
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- ...Job Title: PHRN – Grievance & Case Appeals Work Setup: Full onsite during training; hybrid (2x onsite per week) once in production Work Schedule... ...Registered Nurses (PHRN) with experience in grievance and case appeals to join our healthcare operations team....
40000 - 47000 Php
...Active PHRN Needed - Case Appeals - Pure Back-Office Non-Voice - Hybrid - 7 Openings Company: Confidential Location: Hybrid - Training... ...We are looking for 7 Licensed Registered Nurses for a Grievance and Case Appeals non-voice, back-office healthcare account. Perfect...60000 - 85000 Php
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59000 - 60000 Php
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...QUALIFICATIONS: • PHRN with active license • Active Registered Nurse • Must have at least 1 year of grievance & case appeals experience • Back-office (non-voice) • Willing to work on night shift schedule and attend training onsite; once in production, 2x a week...- ...Are you a licensed PHRN or USRN with experience in Clinical Disability Claims and hospital bedside care? We're looking for experienced healthcare professionals to join a growing team in a 100% Work-From-Home role. Location: Nationwide, Philippines Work...
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...experience (academe background is okay). Certificate/Credentials: • USRN (Any state) Recruitment Process: • Validation • Talkpush... ...Interview • Onboarding Screening notes: • Current location and preferred site to work • Do you have an active USRN license? Provide...- ...principal diagnosis, secondary diagnoses (CC/MCC), procedures, and DRG assignment. • Analyze payer denials involving: o DRG downgrades... ...disputes. • Prepare clear, concise, and compliant DRG appeal letters supported by: o ICD-10-CM/PCS Official Guidelines...
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