# Case Management Specialist (Prior-Authorization)

> ISTA Personnel Solutions · Makati, Philippines · Full-time · Posted 2025-02-20

**Workplace:** on_site

**Department:** PH - Operations

## 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

## Apply

[Apply at ISTA Personnel Solutions](https://apply.workable.com/ista-2/j/11A1FFC2C0/apply)

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