About this role
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
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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