Prior Authorization Specialist

6 days ago

Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱900,000 - ₱1,200,000 per year

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
  • Familiar with Medicare Part B
  • 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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