Claims Specialist for US Healthcare Insurance

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing 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 and responsibilities

• Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Following up on unpaid claims within the standard billing cycle timeframe.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.

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. 

• At least 6 months BPO experience handling US Healthcare Insurance
• Good working knowledge with EMR / EHR
• Experience with claims, denials, appeals
• 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

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