Claims Specialist (US Healthcare) | Get a 21K Signing Bonus at ISTA Solutions Inc

Manila, National Capital District, Philippines -

Full Time

Start Date

Immediate

Expiry Date

08 Sep, 26

Salary

0.0

Posted On

10 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Analysis, Denial Management, Billing Portals, Insurance Appeals, Problem Solving, English Communication, Computer Proficiency, US Healthcare Billing

Industry

Outsourcing and Offshoring Consulting

Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Claims Specialist 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 & responsibilities: Review and analyze denied claims to determine root causes and appropriate next steps Address and resolve claims based on the most common denial reasons as well as unique or complex scenarios Navigate multiple billing and payer portals to gather claim information and submit corrections or appeals Contact insurance companies via phone or online systems to clarify denial details and follow up on claim status Prepare and submit appeals, corrected claims, or additional documentation as required Track and document all actions taken on claims for accurate record-keeping Identify trends in denials and escalate recurring issues when necessary 6 months - 1 year BPO experience in a US Healthcare Account Good working knowledge with Claims and Denials Excellent verbal & written English skills Strong problem-solving skills Adaptability to a changing work environment Ability to remain calm under pressure Proficiency in using computer systems & relevant software Willing to work onsite in 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 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

Responsibilities

Review and analyze denied healthcare claims to determine root causes and submit necessary corrections or appeals. Track all actions taken on claims and identify recurring denial trends for escalation.