Prior Authorization Specialist
1 day 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
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