Case Management Specialist (US Healthcare Insurance) | Hybrid

# Case Management Specialist (US Healthcare Insurance) | Hybrid

> ISTA Personnel Solutions · Makati, Philippines (Hybrid) · Full-time · Posted 2026-09-07

**Workplace:** hybrid

**Department:** Z - Radar , Case Management

## Description

**ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Case Management Specialist 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!**

**Responsibilities:**

• Conduct initial assessments of patients' medical conditions, care needs, and treatment goals. Develop Healthcare plans tailored to each patient's requirements.
• Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions.
• Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
• coordinates with US insurance providers

## Requirements

• Graduate of Medical Allied Courses
• Basic knowledge about Medicare and Medicaid
• 1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals
• Familiar with common medical terminologies
• Good English verbal and written skills
• Good work management skills
• Familiar with common medical terms
• Familiar with MS Office Tools and applications

## 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

## Apply
[Apply at ISTA Personnel Solutions](https://apply.workable.com/ista-2/j/11044734D9/apply)
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