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PHRN Prior-Authorization | WFH at ISTA Personnel Solutions. ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN 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. Receive and review claims requiring Prior Authorization. . Access and utilize the CMM ke. y. to complete required clinical questionnaires. . Locate and extract appropriate clinical information from . PCC (PointClickCare). to support PA submissions. . Accurately complete and submit Prior Authorization requests to health plans when applicable. . Maintain accurate documentation of all actions taken within required systems. . Ensure compliance with payer guidelines, company policies, and regulatory standards. . Meet productivity and turnaround time expectations. . Must be a registered . PHRN (must be active). with 1 - 2 years' bedside/clinical experience. Knowledge with US Healthcare Insurance (Prior Authorization) is a PLUS. Must be keen to details. Excellent verbal and written English skills. Must be residing within GMA (Greater Manila Area). Amenable working night shifts. Company Location: Philippines.