ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller 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
- Verify patients’ insurance eligibility, benefits, and coverage details.
- Contact insurance providers to confirm benefits, coverage limitations, deductibles, copayments, and authorization requirements.
- Process and submit medical claims accurately and within established timelines.
- Monitor claim statuses and follow up on pending, rejected, or denied claims.
- Investigate billing discrepancies and coordinate claim corrections or resubmissions.
- Maintain accurate patient insurance and billing records.
- Communicate with internal teams, healthcare providers, and insurance companies to resolve billing and coverage concerns.
- Ensure compliance with payer requirements and internal procedures.
Requirements
- At least 6 months BPO experience handling US Healthcare Insurance
- Experience with claims, denials, appeals
- Must have VOB (Verification of Benefits) experience
- 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