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Prior Authorization Specialist (Hybrid)

ISTA Personnel Solutions
Full-time
On-site
Makati, Metro Manila, Philippines
Healthcare Insurance and Claims
Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Prior Authorization Specialist 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!

Responsibilities:

  • Conduct initial assessments of patients' medical conditions, care needs, and treatment goals. Develop Healthcare plans tailored to each patient's requirements.
  • Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions.
  • Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
  • coordinates with US insurance providers


Requirements
  • Knowledge about Medicare and Medicaid  
  • At least 1 year BPO Healthcare Experience handing Authorizations 
  • Familiar with common medical terminologies 
  • Excellent English verbal and written skills 
  • Good work management skills    
  • Familiar with common medical terms
  • Must be residing within GMA (Greater Manila Area)          


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