USRN Prior-Authorization | WFH

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

Requirements

Benefits

What can we offer you?

Our Commitment To You