Case Management Specialist

3 weeks ago

Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full time

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
  • Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions.
  • Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
  • Coordinate with US insurance providers
Job Description
  • 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.
    • Basic knowledge about Medicare and Medicaid
    • 1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals.
    • Good to excellent communications (both verbal & written) and detail oriented
    • Ability to multitask (taking in calls and responding to email)
    • Organized and keen attention to details
    • Familiar with common medical terms
    • Willing to report onsite in MAKATI
    • Amenable 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
    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

    #J-18808-Ljbffr

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