About this role
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
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What can we offer you?
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Competitive salary and benefits
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Health Insurance with free dependents*
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10%-night differential
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Attendance Bonus
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Paid time off
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Convertible to cash leave credits
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Performance Appraisal
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Work-life balance
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A focus on growing your career path with us
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We encourage you to follow your passions and learn new skills
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Our commitment to you
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Stong culture and values-driven leadership
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We create opportunities for you to learn and grow at any stage of your career
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Continuous learning and innovation
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We foster an all-inclusive environment where everyone thrives