Night-Shift Healthcare Authorization Specialist (Makati)

ISTA Solutions; Manila; On-site; PHP 312,000 - 469,000; Full time

Benefits offered by this job

Health insurance

Night differential

Attendance bonus

Paid time off

Cash leave credits

Performance review

Work-life balance

Career growth

Skill development opportunities

Job summary

ISTA Solutions is seeking an experienced Healthcare Case Manager to join our Makati-based team. You will handle initial/pre-authorization, respond to providers, and coordinate with insurers to determine approvals while reviewing member benefits and clinical records.

The role requires at least 1 year in healthcare BPO, strong English communication, and willingness to work onsite during night shifts in a supportive, growth-focused environment.

Qualifications

• 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.

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.

Skills

Healthcare BPO experience

Verbal and written English

Night shift flexibility

Job description

ISTA Solutions is seeking an experienced Healthcare Case Manager to join our Makati-based team. You will handle initial/pre-authorization, respond to providers, and coordinate with insurers to determine approvals while reviewing member benefits and clinical records.

The role requires at least 1 year in healthcare BPO, strong English communication, and willingness to work onsite during night shifts in a supportive, growth-focused environment.