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