Manager, Prior Authorizations
NateraSalary not specified
Case Management Specialist (Prior-Authorization) L-CM at A1M Solutions
Makati, Metro Manila, Philippines
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, BPOIndustries
Requirements
- At least 1 year of Healthcare BPO experience
- Experience handling and processing Authorization requests
- Excellent verbal and written English skills
- Willing to work onsite in Makati
- Amenable to 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 member benefits
- Review Member’s clinical records
- Manage healthcare cases
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the salary for this Case Management Specialist role?
The job offers a competitive salary and benefits, but the exact salary range is not specified.
Is this position remote or on-site?
This is an on-site position requiring work in Makati, with no remote option available.
What skills and experience are required for this role?
Candidates need at least 1 year of Healthcare BPO experience, experience handling Authorization requests, and excellent verbal and written English skills. They must also be willing to work onsite in Makati and night shifts.
What is the company culture like at ISTA Solutions?
ISTA Solutions prioritizes employee satisfaction, work-life balance, long-term success, continuous learning, and fosters an all-inclusive environment where everyone thrives.
What benefits are offered for this position?
Benefits include competitive salary, health insurance with free dependents, 10% night differential, attendance bonus, paid time off, convertible leave credits, performance appraisal, and a focus on work-life balance and career growth.
A1M Solutions
Design and data support for government healthcare
About A1M Solutions
A1M Solutions specializes in providing design, data, and policy-informed support for government healthcare programs, with a focus on serving disadvantaged populations. The company leverages expertise in government healthcare programs, data analysis, and policy/legislation to design effective business strategies and enhance digital service delivery, utilizing agile research and insights to untangle complex problems and generate thoughtful solutions.
Chico, CA, USAHeadquarters
2018Year Founded
VENTURE_UNKNOWNCompany Stage
Consulting, Social ImpactIndustries
11-50Employees
