About this role
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN 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
Receive and review claims requiring Prior Authorization. Access and utilize the CMM key to complete required clinical questionnaires. Locate and extract appropriate clinical information from PCC (PointClickCare) to support PA submissions. Accurately complete and submit Prior Authorization requests to health plans when applicable. Maintain accurate documentation of all actions taken within required systems. Ensure compliance with payer guidelines, company policies, and regulatory standards. Meet productivity and turnaround time expectations. Requirements
Must be a registered PHRN (must be active)with 1 - 2 years' bedside/clinical experienceKnowledge with US Healthcare Insurance (Prior Authorization) is a PLUSMust be keen to detailsExcellent verbal and written English skillsMust be residing within GMA (Greater Manila Area)Amenable working night shiftsBenefits
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