Case Management Specialist (US Healthcare Insurance) | Hybrid
LocationMakati, Metro Manila, Philippines
Work modeon-site
Typefull-time
DepartmentPhilippine
Company size11+ people
First seen3d ago
Last seen42m ago
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:
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Conduct initial assessments of patients’ medical conditions, care needs, and treatment goals. Develop Healthcare plans tailored to each patient’s requirements.
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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.
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Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
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coordinates with US insurance providers
Requirements
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Graduate of Medical Allied Courses
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Basic knowledge about Medicare and Medicaid
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1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals
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Familiar with common medical terminologies
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Good English verbal and written skills
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Good work management skills
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Familiar with common medical terms
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Familiar with MS Office Tools and applications
Benefits
What can we offer you?
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Competitive salary and benefits
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Health Insurance with free dependents*
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10%-night differential
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Attendance Bonus
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Paid time off
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Convertible to cash leave credits
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Performance Appraisal
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Work-life balance
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A focus on growing your career path with us
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We encourage you to follow your passions and learn new skills
Our commitment to you
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Strong culture and values-driven leadership
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We create opportunities for you to learn and grow at any stage of your career
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Continuous learning and innovation
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We foster an all inclusive environment where everyone thrives