About this role
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare CSR 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 complete tasks assigned within the insurance call task page. Contact insurance plans via phone or approved communication channels to: Check the status of pending authorization requests. Request backdating of approved authorizations when necessary. Document all call outcomes, authorization details, and next steps in the appropriate systems with accuracy and completeness. Follow established scripts, guidelines, and compliance requirements during insurance communications. Escalate unresolved issues, discrepancies, or delays to supervisors or appropriate teams. Collaborate with clinical, pharmacy, or billing teams to ensure proper follow-through based on updated authorization information. Maintain confidentiality of patient information in compliance with HIPAA and organizational policies. Meet productivity and quality standards for call volume, accuracy, and turnaround time.Requirements
At least 6 months BPO experience handling a US Healthcare AccountKnowledge in submitting and processing Prior-Authorization is a PLUSGood verbal and written English skillsWilling to work onsite in MandaluyongAmenable working night shiftBenefits
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