About this role
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Claims Specialist 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 & responsibilities:
Review and analyze denied claims to determine root causes and appropriate next steps Address and resolve claims based on the most common denial reasons as well as unique or complex scenarios Navigate multiple billing and payer portals to gather claim information and submit corrections or appeals Contact insurance companies via phone or online systems to clarify denial details and follow up on claim status Prepare and submit appeals, corrected claims, or additional documentation as required Track and document all actions taken on claims for accurate record-keeping Identify trends in denials and escalate recurring issues when necessary Requirements
6 months - 1 year BPO experience in a US Healthcare AccountGood working knowledge with Claims and DenialsExcellent verbal & written English skills Strong problem-solving skills Adaptability to a changing work environment Ability to remain calm under pressure Proficiency in using computer systems & relevant software Willing to work onsite in in Shaw Blvd, MandaluyongAmenable 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