Insurance Claims and Authorizations Specialist

24 hours ago


Makati City, National Capital Region, Philippines ISTA Solutions Full time
About the Role: As a US Healthcare Insurance Supervisor, you will play a critical role in our team's success. You will be responsible for processing Initial or Pre Authorization via Phone or via Email, Communicating to insurance providers for authorization determination, Coordinating with US healthcare facilities and insurance providers, Processing verification of members benefits, Reviewing Members clinical records, and Conduct coaching for skill development to agents.

Key Requirements: To succeed in this role, you will need to have at least 2 years BPO experience in a Healthcare Account, a good working knowledge of Pre-Certifications, Authorizations, Appeals, and Claims, and excellent verbal and written English communication skills. Additionally, you will need to be knowledgeable in US Healthcare Insurance, Medicare/Medicaid, and related items, and have a Medical Allied Grad degree. Furthermore, you will need to be willing to work onsite in Buendia, Makati, and amenable to working night shifts.

What You'll Get: We offer a competitive salary and benefits package, including Health Insurance with free dependents, 10%-night differential, Attendance Bonus, Paid time off, and Convertible to cash leave credits. We also foster an all-inclusive environment where everyone thrives, and we encourage you to follow your passions and learn new skills.

Why Work with Us: At ISTA Solutions, we create opportunities for you to learn and grow at any stage of your career. We are committed to continuous learning and innovation, and we strive to make a positive impact on our community.

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