Case Management Specialist (Hybrid)

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:

• Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions.
• Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns.
• coordinates with US insurance providers

Job Description: 

• Provides customer support through different communication channels (Phone, email, chat). 
• Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services. 
• Collaborate with colleagues and different departments to resolve complex issues 
• Maintain accurate records on customer interactions, transaction, feedback, etc. 

• Basic knowledge about Medicare and Medicaid   
• 1 year BPO Healthcare Experience related to reviewing medical records, authorization, claims, denials and appeals.      
• Good to excellent communications (both verbal & written) and detail oriented
• Ability to multitask (taking in calls and responding to email)
• Organized and keen attention to details
• Familiar with common medical terms
• Willing to report onsite in MAKATI
• Amenable working night shifts

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