About this role
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 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:
- Review and process ambulance insurance claims, ensuring accuracy and compliance with client and insurance requirements.
- Work directly with clients to address inquiries, provide updates, and resolve claim-related concerns.
- Verify claim details including eligibility, coverage, and supporting documentation.
- Apply knowledge of medical and diagnosis codes to ensure correct claim submission and adjudication.
- Identify and escalate discrepancies, denials, and appeals as needed.
- Maintain accurate and timely claim records in line with company and client standards.
- Uphold confidentiality and compliance with HIPAA guidelines.
Requirements
- At least 6 months of Healthcare experience.
- Above average verbal and written English communication skills.
- Medical claims and prior authorization experience preferred but not required.
- Knowledge of medical and diagnosis codes is required.
- Strong attention to detail with a focus on accuracy.
- Ability to work independently while managing multiple tasks.
- Willing to work onsite in 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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Strong 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