Back-Office CSR

2 days ago

Mandaluyong City, National Capital Region, Philippines ISTA Personnel Solutions Full time
Overview

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
    • 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

    #J-18808-Ljbffr

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