Case Management Specialist (US Healthcare Insurance) | Hybrid

About this role

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