Voice CSR

1 week ago

Mandaluyong City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱120,000 - ₱180,000 per year

**ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare CSR 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**

  • Review and complete tasks assigned within the insurance call task page.
  • Contact insurance plans via phone or approved communication channels to:
  • Check the status of pending authorization requests.
  • Request backdating of approved authorizations when necessary.
  • Document all call outcomes, authorization details, and next steps in the appropriate systems with accuracy and completeness.
  • Follow established scripts, guidelines, and compliance requirements during insurance communications.
  • Escalate unresolved issues, discrepancies, or delays to supervisors or appropriate teams.
  • Collaborate with clinical, pharmacy, or billing teams to ensure proper follow-through based on updated authorization information.
  • Maintain confidentiality of patient information in compliance with HIPAA and organizational policies.
  • Meet productivity and quality standards for call volume, accuracy, and turnaround time.
Requirements
  • At least 6 months BPO experience handling a US Healthcare Account
  • Knowledge in submitting and processing Prior-Authorization is a PLUS
  • Good verbal and written English skills
  • Willing to work onsite in Mandaluyong
  • Amenable working night shift
Benefits

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

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