Back-Office CSR

4 days ago

Mandaluyong City, National Capital Region, Philippines ISTA Solutions Full time ₱900,000 - ₱1,200,000 per year

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced
Healthcare Customer 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
Roles and responsibilities:

  • Submit and track prior authorization requests
  • Follow up on prior authorization statuses to ensure timely approvals.
  • Rebill denied or rejected claims with appropriate corrections or additional documentation.
  • Monitor and ensure that all authorized services are appropriately reimbursed by insurance payers.
  • Maintain accurate and up-to-date records of authorization approvals and claim status.
  • Communicate with insurance companies, healthcare providers, and internal teams to resolve issues affecting payment

Requirements

  • At least 6 months BPO experience in any Healthcare campaign
  • Strong negotiation, communication, and problem-solving skills
  • Good verbal and written English skills
  • Attention to detail and strong organizational skills
  • Willing to work onsite in Shaw Blvd, 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

  • Stong 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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