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
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