Prior Authorization Associate
iSTA Solutions Philippines
This a Full Remote job, the offer is available from: Philippines
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- Request and process prior authorizations for medical procedures, services, or medications
- Contact insurance companies via phone to verify coverage and secure authorizations
- Accurately document authorization details, including reference numbers and validity dates
- Follow up on pending authorizations to ensure timely approval and avoid service delays
- Communicate authorization status with internal teams or healthcare providers as needed
- Ensure compliance with insurance guidelines and payer-specific requirements
- Maintain detailed and organized records of all authorization activities
- Escalate issues or denials to appropriate team members or supervisors
- Protect patient confidentiality and comply with HIPAA and data privacy standards
- Above average verbal and written English communication skills
- Prior experience in handling prior authorizations
- Experience in U.S. healthcare processes is preferred
- Familiarity with medical and diagnosis codes
- Strong attention to detail
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
- 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
This offer from "iSTA Solutions" has been enriched by Jobgether.com and got a 72% flex score.
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