Startup Jobs
Post a Job
ISTA Personnel Solutions

Claims Specialist for US Healthcare Insurance

Makati , Philippines
full-time

AI overview

Join a team focused on employee satisfaction and long-term growth, handling critical tasks in eligibility verification and claims management in the US Healthcare Insurance sector.

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist 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

  • Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Reviewing patient bills for accuracy and completeness and obtaining any missing information.
  • Following up on unpaid claims within the standard billing cycle timeframe.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.

Job Description:

  • Provides customer support through different communication channels (Phone, email, chat). 
  • Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services. 
  • Collaborate with colleagues and different departments to resolve complex issues 
  • Maintain accurate records on customer interactions, transaction, feedback, etc. 

Requirements

  • At least 6 months BPO experience handling US Healthcare Insurance
  • Experience with claims, denials, appeals
  • Must have VOB (Verification of Benefits) experience
  • Strong problem-solving skills 
  • Adaptability to a changing work environment  
  • Ability to remain calm under pressure 
  • Good verbal and written English skills
  • Willing to work onsite in 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

Perks & Benefits Extracted with AI

  • Health Insurance: Health Insurance with free dependents*
  • Other Benefit: Convertible to cash leave credits
  • Paid Time Off: Paid time off
ISTA Personnel Solutions

ISTA Solutions is home to rockstar professionals who aim to be engaged in defining and building an employee centric culture, focused on long term success, work-life balance, and life-long learnings. From the industries we support, to the functions we perform, ISTA has structured ourselves differently from other outsourcing companies; effectively setting ourselves apart from the rest of the pack. If you are looking for something new and something different, where you are engaged not only in your own success but in defining and building the culture you want to belong in, you've come to the right place.

Website LinkedIn
View all jobs
Ace your job interview

Understand the required skills and qualifications, anticipate the questions you may be asked, and study well-prepared answers using our sample responses.

Claims Specialist Q&A's
Report this job

This job is no longer available