Back-Office CSR

2 weeks ago


Mandaluyong, Philippines ISTA Solutions Full time

1 month ago Be among the first 25 applicants ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service 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 youAccount Specific Roles And ResponsibilitiesCensus Management:Review and process the daily Census report from the Prior Authorization Department, including new admissions and patient transfers. Cross-reference patient information with the Medicaid portal to determine whether authorizations are required. Accurately enter all patient data regardless of authorization status Tag and flag cases that require authorization for tracking and escalation. Authorization Follow-up:Identify and follow up on authorizations that have been pending for over 30 days. Contact insurance companies directly to obtain status updates and clarify where the case is pending in the review process. Document all communication and update case statuses in the system accordingly RequirementsAt least 6 months BPO experience handling US Healthcare Insurance Preferably with long term care, census, or authorizations experience Familiar with MS Tools (Word, Excel, Outlook) Good verbal and written English skills Must be willing to work on-site in Mandaluyong Amenable working night shifts BenefitsWhat 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 youStrong 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 Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Other Industries IT Services and IT Consulting Referrals increase your chances of interviewing at ISTA Solutions by 2x Get notified about new Customer Service Representative jobs in Mandaluyong, National Capital Region, Philippines . 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