Claims Specialist for US Healthcare Insurance

2 weeks ago

Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱1,200,000 - ₱2,400,000 per year

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist 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
  • Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Reviewing patient bills for accuracy and completeness and 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.

Job Description:

  • Provides customer support through different communication channels (Phone, email, chat). 
  • Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services. 
  • Collaborate with colleagues and different departments to resolve complex issues 
  • Maintain accurate records on customer interactions, transaction, feedback, etc. 

Requirements

  • At least 6 months BPO experience handling US Healthcare Insurance
  • Experience with claims, denials, appeals
  • Strong problem-solving skills 
  • Adaptability to a changing work environment  
  • Ability to remain calm under pressure 
  • Good verbal and written English skills
  • Willing to work onsite in Makati
  • Amenable working night shifts

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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