ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Customer 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!

Roles and responsibilities:

• Submit and track prior authorization requests.
• Follow up on prior authorization statuses to ensure timely approvals.
• Rebill denied or rejected claims with appropriate corrections or additional documentation.
• Monitor and ensure that all authorized services are appropriately reimbursed by insurance payers.
• Maintain accurate and up-to-date records of authorization approvals and claim status.
• Communicate with insurance companies, healthcare providers, and internal teams to resolve issues affecting payment.

Requirements

• At least 6 months BPO experience in any Healthcare campaign
• Prior Authorization experience is a PLUS
• Strong negotiation, communication, and problem-solving skills
• Good verbal and written English skills
• Attention to detail and strong organizational skills.
• Willing to work onsite in Shaw Blvd, Mandaluyong
• Amenable working night shift

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

• Stong 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