Medical Billing Specialist

3 weeks ago


Makati, Philippines ISTA Solutions Full time

Overview

ISTA Solutions , an outsourcing/offshoring company, is in search of an experienced Medical Billing 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. We focus on long-term success and life-long learning, and we are looking for a team player who is ready to contribute to our mission.

Responsibilities
  • Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Review patient bills for accuracy and completeness and obtain any missing information.
  • Follow up on unpaid claims within the standard billing cycle timeframe.
  • Call insurance companies regarding any discrepancy in payments if necessary.
  • Identify and bill secondary or tertiary insurances.
  • Provide customer support through different communication channels (phone, email, chat).
  • Resolve issues and address customer inquiries to ensure satisfaction with products or services.
  • Collaborate with colleagues and different departments to resolve complex issues.
  • Maintain accurate records of customer interactions, transactions, and feedback.
Requirements
  • 6 months to 1 year BPO experience in a US Healthcare account.
  • Good working knowledge of medical claims, benefits, eligibilities, and appeals.
  • Familiar with US Healthcare Insurance (Medicare, Medicaid).
  • Excellent verbal and written English skills.
  • Ability to display empathy and patience in addressing customer concerns.
  • Strong problem-solving skills.
  • Adaptability to a changing work environment; ability to remain calm under pressure.
  • Proficiency in using computer systems and relevant software.
  • Willing to work onsite in Makati or Mandaluyong.
  • Amenable to night shift.
Benefits
  • 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
  • Opportunity to grow your career path with us; continue learning new skills
Employment details
  • Seniority level: Entry level
  • Employment type: Full-time
  • Job function: Other
  • Industries: IT Services and IT Consulting
  • Location: Makati or Mandaluyong, Philippines
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