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Prior Authorization Specialist | Get a 21K Signing Bonus at ISTA Solutions Inc

Manila, National Capital District, Philippines -

Full Time

Start Date

Immediate

Expiry Date

13 Sep, 26

Salary

0.0

Posted On

15 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Healthcare Case Management, Insurance Verification, Clinical Record Review, US Healthcare Insurance, English Communication, BPO Operations

Industry

Outsourcing and Offshoring Consulting

Description

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 (US Healthcare Insurance) Experience handling/processing Authorization 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

Responsibilities

The role involves processing initial and pre-authorizations via phone and email while communicating with insurance providers for determinations. Responsibilities also include verifying member benefits and managing healthcare cases through clinical record reviews.