Claims Specialist for US Healthcare Insurance

2 weeks ago

Makati City, National Capital Region, Philippines ISTA Personnel Solutions Full time ₱30,000 - ₱60,000 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

  • Claims Specialist for US Healthcare Insurance

    1 week ago

    Makati 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 experiencedMedical Billing Specialistto 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...

  • Healthcare Claims Specialist

    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 Service 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...

  • Healthcare Claims Specialist

    4 days ago

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

    ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service 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...

  • Healthcare Claims Specialist

    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 Service 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...

  • Healthcare Claims Specialist

    4 days ago

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

    ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service 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...

  • Healthcare Claims Specialist

    4 days ago

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

    ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer Service 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...

  • Healthcare Specialist

    2 days ago

    Makati City, National Capital Region, Philippines EMAPTA Full time ₱900,000 - ₱1,200,000 per year

    The Medical Records Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, Microsoft Outlook, Word and Excel. This individual will review, analyze and report reimbursement of integrity measures.Job Overview:Employment type: Full-timeSchedule:...

  • URGENT US Healthcare Claims Rep

    4 days ago

    Quezon City, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time ₱1,200,000 - ₱2,400,000 per year

    Job Qualifications:Completed at least 2 years of college or SHS Graduate.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC...

  • Medical Biller US Healthcare

    1 week ago

    Quezon City, National Capital Region, Philippines Neolytix Full time ₱300,000 - ₱480,000 per year

    About Neolytix Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. Working at Neolytix At Neolytix, you will learn to hone...

  • Claims Staff

    4 days ago

    Makati City, National Capital Region, Philippines PhilBritish Insurance Full time ₱800,000 - ₱1,200,000 per year

    Claims Staff is responsible for the efficient processing, evaluation, and settlement of insurance claims in accordance with company policies, service standards, and regulatory requirements. Ensures fair and timely claims handling to maintain client satisfaction and protect company interests.Key ResponsibilitiesReceive, record, and acknowledge policyholders'...