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Case Management Specialist (Prior-Authorization) @ ISTA Personnel Solutions

Makati, PhilippinesOnsiteFull-timePosted 4 days ago

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About this role

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 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

Skills

PhilippineUnspecified

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