Case Management Specialist (US Healthcare Insurance) | Hybrid

ISTA Solutions

1-3 Years

Philippines

Posted 8 hours ago

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Job Description

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