ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Case Management Specialist 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!

Responsibilities:

Conduct initial assessments of patients medical conditions, care needs, and treatment goals. Develop Healthcare plans tailored to each patient's requirements
Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions
Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns
coordinates with US insurance providers

Requirements

Graduate of Medical Allied Courses
Basic knowledge about Medicare and Medicaid
1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals
Familiar with common medical terminologies
Good English verbal and written skills
Good work management skills
Familiar with common medical terms
Familiar with MS Office Tools and applications

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

Case Management Specialist (US Healthcare Insurance) | Hybrid