Case Management Specialist (Prior-Authorization)

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