Offer summary

Qualifications:

At least 2 years of BPO experience in a Healthcare Account., Knowledgeable in US Healthcare Insurance, Medicare/Medicaid, and related items., Good working knowledge of Pre-Certifications, Authorizations, Appeals, and Claims., Excellent verbal and written English communication skills. .

Key responsabilities:

Processing Initial or Pre Authorization via Phone or Email.

Communicating with insurance providers for authorization determination.

Coordinating with US healthcare facilities and insurance providers.

Conducting coaching for skill development to agents.

Welcome to Ista Solutions, your go-to remote staffing solutions provider. We understand the challenges businesses face when managing their workflows and finding the right people to execute their vision. That's why we exist—to be your dedicated partner in growth. Here are some reasons why our services are a must-have for your business: -We provide tailor-made workflow solutions that cater to your unique business requirements, helping you streamline your operations, reduce the turnaround time, and maximize efficiency. -Our agents are skilled, experienced, and solely focused on your company. They are trained to deliver outstanding results while working closely with your team and adhering to your company's culture. -We leverage our global resources to provide comprehensive support for your business, including technical assistance, billing services, and recruitment. This way, you can focus on growing your business while we take care of the back-end operations. At Ista Solutions, we believe in the power of building strong relationships with our clients. We strive to be your long-term partner in success, providing ongoing support and guidance to help you navigate through any challenges that may arise. We understand the importance of transparency and honesty in business. That's why we pride ourselves on being open, ethical, and straightforward in all our client interactions. Without Ista, healthcare companies commonly face: -Overburdened workforce -Increased demand for productivity -The need to reduce operational costs -The lack of specialized expertise in-house -Difficulty finding reliable remote staff We know that these problems can have a big effect on the growth and success of your business, which is why we're here to offer you complete remote staffing solutions. Whether you need customer service support, technical assistance, or a team of virtual assistants, we have the expertise to help you achieve your business goals.

Job description

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
Must be residing within GMA (Greater Manila Area)
Amenable working night shifts