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US Healthcare Insurance Supervisor | WFH | L-CM

Remote: 
Full Remote
Contract: 
Full time
Work from: 
Philippines

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.

iSTA Solutions logo
iSTA Solutions Large https://istasolutions.com/
1001 - 5000 Employees
See all jobs

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

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

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Communication
Are you interested?

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