# Case Management Specialist (Prior-Authorization)

**Company:** [ISTA Personnel Solutions](http://jobs.workable.com/companies/iSt64sfgHWn4ef4KKpqeK9.md)
**Location:** Makati, Philippines
**Workplace:** on site
**Employment type:** Full-time
**Department:** PH - Operations

[Apply for this job](http://jobs.workable.com/view/594cd335-2457-47dc-ab0c-b843c47fc16c)

## 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

## 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