# Case Management Specialist (US Healthcare Insurance) | Hybrid

**Company:** [ISTA Personnel Solutions](null/companies/iSt64sfgHWn4ef4KKpqeK9.md)
**Location:** Makati, Philippines
**Workplace:** hybrid
**Employment type:** Full-time
**Department:** Philippine

[Apply for this job](null/view/c8500153-0ce5-46fb-b1ed-5a0b233edfd0)

## Description

**ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Case Management 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

-   Graduate of Medical Allied Courses   
-   Basic knowledge about Medicare and Medicaid
-   1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals
-   Familiar with common medical terminologies 
-   Good English verbal and written skills 
-   Good work management skills    
-   Familiar with common medical terms
-   Familiar with MS Office Tools and applications

## 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