Back-Office CSR | US Healthcare Account | Earn a 21K Signing Bonus at ISTA Solutions Inc

Mandaluyong, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

13 Aug, 26

Salary

0.0

Posted On

15 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Claims Rebilling, Insurance Reimbursement, Negotiation, Communication, Problem-solving, English Proficiency, Organizational Skills, Attention To Detail

Industry

Outsourcing and Offshoring Consulting

Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Representative 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! Roles and responsibilities: Submit and track prior authorization requests. Follow up on prior authorization statuses to ensure timely approvals. Rebill denied or rejected claims with appropriate corrections or additional documentation. Monitor and ensure that all authorized services are appropriately reimbursed by insurance payers. Maintain accurate and up-to-date records of authorization approvals and claim status. Communicate with insurance companies, healthcare providers, and internal teams to resolve issues affecting payment. At least 6 months BPO experience in any Healthcare campaign Prior Authorization experience is a PLUS Strong negotiation, communication, and problem-solving skills Good verbal and written English skills Attention to detail and strong organizational skills. Willing to work onsite in Shaw Blvd, Mandaluyong Amenable working night shift 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 Stong 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

Responsibilities

The role involves submitting and tracking prior authorization requests and rebilling denied claims to ensure timely insurance reimbursement. It also requires maintaining accurate records and communicating with insurance companies and healthcare providers to resolve payment issues.