Case Management Specialist

2 days ago

Makati City, National Capital Region, Philippines ISTA Solutions Full time ₱30,000 - ₱60,000 per year

ISTA 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 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

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