Case Management Specialist (Prior-Authorization)

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Case Manager 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

Process Initial or Pre-Authorization via Phone or via Email

Respond to provider requests

Communicate to insurance providers for authorization determination

Process verification of members benefits

Review Members clinical records

Manage healthcare cases

Requirements

• At least 1 year Healthcare BPO experience
• Experience handling/processing Authorization
• Excellent verbal and written English skills
• Willing to work onsite in Makati
• Amenable working night shift

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

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ISTA Solutions is home to rockstar professionals who aim to be engaged in defining and building an employee centric culture, focused on long term success, work-life balance, and life-long learnings. From the industries we support, to the functions we perform, ISTA has structured ourselves differently from other outsourcing companies; effectively setting ourselves apart from the rest of the pack. If you are looking for something new and something different, where you are engaged not only in your own success but in defining and building the culture you want to belong in, you've come to the right place.