Case Management Specialist (Prior-Authorization)

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Case Manager 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!

Account specific roles and 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 members benefits
• Review Members clinical records           
• Manage healthcare cases       

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