Claims Specialist for US Healthcare Insurance RTE
3 weeks ago
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. 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- Perform eligibility and benefits verification for treatments, hospitalizations, and procedures
- Review patient bills for accuracy and completeness and obtaining any missing information
- Following up on unpaid claims within the standard billing cycle timeframe
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances
- Provides customer support through different communication channels (Phone, email, chat).
- Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
- Collaborate with colleagues and different departments to resolve complex issues
- Maintain accurate records on customer interactions, transactions, feedback, etc.
- At least 6 months BPO experience handling US Healthcare Insurance
- Good working knowledge with EMR / EHR
- Experience with claims, denials, appeals
- Strong problem-solving skills
- Adaptability to a changing work environment
- Ability to remain calm under pressure
- Good verbal and written English skills
- Willing to work onsite in Makati
- Amenable to working night shifts
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
- 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
Entry level
Employment typeFull-time
Job functionFinance and Sales
IndustriesIT Services and IT Consulting
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