ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced US Healthcare Insurance Supervisor 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
- Processing Initial or Pre Authorization via Phone or via Email
- Communicating to insurance providers for authorization determination
- Coordinating with US healthcare facilities and insurance providers
- Processing verification of members benefits
- Reviewing Members clinical records
- Conduct coaching for skill development to agents
Requirements
- At least 2 years BPO experience in a Healthcare Account
- Knowledgeable in US Healthcare Insurance, Medicare/Medicaid, and related items
- Good working knowledge with Pre-Certifications, Authorizations, Appeals, Claims
- SME or TL experience is a PLUS
- Medical Allied Grad
- Excellent verbal and written English communication skills
- Willing to work onsite in Buendia, Makati
- Amenable working night shifts
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
