Prior Authorization Specialist Get A 21K Signing Bonus

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

Job 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. Were 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

• 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

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