Back-Office CSR (US Healthcare)

Mandaluyong City, Metro Manila
Permanent
Full-time

2 months ago
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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 responsibilitiesCensus Management:

Review and process the daily Census report from the Prior Authorization Department, including new admissions and patient transfers.
Cross-reference patient information with the Medicaid portal to determine whether authorizations are required.
Accurately enter all patient data regardless of authorization status.
Tag and flag cases that require authorization for tracking and escalation.

Authorization Follow-up:

Identify and follow up on authorizations that have been pending for over 30 days.
Contact insurance companies directly to obtain status updates and clarify where the case is pending in the review process.
Document all communication and update case statuses in the system accordingly.

Requirements

At least 6 months BPO experience handling US Healthcare Insurance
Preferably with long term care, census, or authorizations experience
Familiar with MS Tools (Word, Excel, Outlook)

Good verbal and written English skills
Must be willing to work on-site in Mandaluyong
Amenable working night shifts

BenefitsWhat 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

ISTA Solutions