Job Description
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN 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
Review and analyze patients’ medical history, diagnosis, and previous medication records
Assess clinical documentation to ensure completeness and accuracy
Prepare, complete, and submit Prior Authorization requests to insurance providers
Fill out and submit attestation forms based on payer-specific guidelines
Ensure submissions align with insurance criteria and clinical protocols
Communicate with insurance companies regarding authorization status, additional requirements, or clarifications
Maintain accurate and timely documentation of all prior authorization activities
Follow compliance, HIPAA, and organizational standards at all times
Must be a registered PHRN and USRN (Must be active)
1 - 2 years’ experience handling US Healthcare Insurance
Good working knowledge in processing Prior-Authorization
Must be keen to details
Excellent verbal and written English skills
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
