Case Management Specialist (US Healthcare Insurance) | Hybrid

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 sk