Healthcare Claims Processor

7 days ago


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

Job Summary:


We are seeking an experienced and detail-oriented Healthcare Claims Processor to join our team at ISTA Solutions. In this role, you will be responsible for managing dental claims from submission to resolution, ensuring timely and accurate approvals.



Key Responsibilities:

  • Manage dental claims from submission to resolution, ensuring timely and accurate approvals.
  • Coordinate with insurance companies to verify coverage and obtain necessary authorizations for dental procedures.
  • Communicate effectively with clients, insurance providers, and dental professionals to ensure smooth claim processing.
  • Review and interpret dental procedures and treatment plans for insurance compatibility.
  • Provide support to clients by answering inquiries regarding insurance benefits, claim status, and authorization requirements.
  • Maintain detailed records of claims, authorizations, and communications with insurance providers.


Requirements:

  • A minimum of 6 months BPO experience in a Healthcare Account is required.
  • Familiarity with Dental Claims is a must.
  • Good verbal and written English skills are essential.
  • The ability to work onsite in Makati and willingness to work night shifts is required.


Benefits:

  • Competitive salary and benefits package.
  • 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.



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