Back-Office CSR

7 days 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 you
Account Specific Roles And Responsibilities
Census 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
Requirements
  • At 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
Benefits
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
Seniority level
  • Seniority level Entry level
Employment type
  • Employment type Full-time
Job function
  • Job function Other
  • Industries IT Services and IT Consulting

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