Healthcare Claims Specialist

5 days ago


Makati City, National Capital Region, Philippines ISTA Solutions Full time
Job Overview:

ISTA Solutions, a leading outsourcing company, seeks an experienced Healthcare Claims Specialist to join our rapidly expanding team. As a key member of our team, you will have the opportunity to work with highly skilled professionals who prioritize employee satisfaction and work-life balance. Our company prides itself on creating a culture focused on long-term success and life-long learning.

We're looking for a dedicated individual who is ready to contribute to our mission by performing various tasks related to medical billing and insurance claims. This role requires attention to detail, strong communication skills, and the ability to work effectively in a team environment. If you're passionate about healthcare and want to grow your career, we encourage you to apply.

About the Role:
  • Eligibility and benefits verification for treatments, hospitalizations, and procedures
  • Review patient bills for accuracy and completeness, 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

Requirements:
  • 6 months - 1 Year BPO experience in a Healthcare Account
  • Good working knowledge with US Healthcare Insurance (Claims)
  • Organized and keen attention to details
  • Excellent verbal and written English skills
  • Willing to work onsite in Buendia, Makati
  • Amenable to working Night shifts


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