USRN (NLC) 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

• Must be a registered PHRN and USRN (Must be active)
• With NLC (Nurse Compact License). (NY, NJ, TX, etc.)
• 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