
Prior Authorization Specialist
4 weeks ago
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
- At least 1 year Healthcare BPO experience
- Experience handling/processing Authorization
- Familiar with Medicare Part B
- Excellent verbal and written English skills
- Willing to work onsite in Makati
- Amenable working night shift
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
-
Prior Authorization Specialist
3 days ago
Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱900,000 - ₱1,200,000 per yearISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Prior Authorization 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...
-
Prior Authorization
4 days ago
Makati City, National Capital Region, Philippines ISTA Solutions, Inc. Full time ₱120,000 - ₱180,000 per yearISTA 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...
-
Prior Authorization Specialist
3 days ago
Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱900,000 - ₱1,200,000 per yearISTA 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...
-
Insurance Authorization Specialist
3 days ago
Quezon City, National Capital Region, Philippines BruntWork Full time ₱900,000 - ₱1,200,000 per yearThis is a remote position.Schedule: M-F, 8am - 5pm 40 hours a weekClient Timezone: Central Time Client OverviewTake on a crucial role with a thriving multi-location sleep clinic that's dedicated to ensuring patients receive the life-changing treatments they need. This established healthcare organization operates across multiple states and specializes in...
-
Authorizations CSR for US Healthcare
4 weeks ago
Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full timeOverviewISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Authorizations 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...
-
Peer Review Specialist
3 weeks ago
Makati City, National Capital Region, Philippines Remote Raven Full timeOverviewPosition SummaryWe are seeking a highly skilled and detail-oriented Peer Review Specialist to support our Residential, PHP, and IOP levels of care. This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization. The ideal candidate will be a licensed...
-
Accounting Specialist
3 days ago
Makati City, National Capital Region, Philippines Prime@Technology Specialist Full time ₱400,000 - ₱600,000 per yearDUTIES AND RESPONSIBILITIES• Review all invoices for appropriate documentation and approval prior to payment• Prioritize invoices according to cash discount potential and payment terms• Process check requests• Audit and process credit card bills• Match invoices to checks, obtain all signatures for checks and distribute checks accordingly• Respond...
-
Authorizations CSR for US Healthcare
2 days ago
Mandaluyong City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱900,000 - ₱1,200,000 per yearISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Authorizations 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...
-
Authorizations CSR for US Healthcare
3 weeks ago
Mandaluyong City, National Capital Region, Philippines ISTA Solutions Full timeOverviewISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Authorizations 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. We pride ourselves on creating a culture focused on...
-
Eligibility and Verifications Specialist
3 weeks ago
Makati City, National Capital Region, Philippines Staff4Me Full timeOverviewAn Eligibility and Verifications Specialist's main responsibility is verifying insurance coverage, estimating patient cost-sharing responsibilities, and determining the coverage of specific services, devices, and treatment modalities under patients' insurance plans. Your expertise will ensure accurate billing, streamline administrative processes, and...