Customer Support for Healthcare Billing SPX

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced 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 responsibilities

• Test Claims for Medication Coverage:
• Run claims tests to verify if prescribed medications will be covered by the insurance plan.
• Identify discrepancies between the prescribed medication and the coverage available under the individual's insurance.
• Communication with Facilities:
• Use email, fax, and phone calls to communicate with medical facilities regarding medications that are not covered by insurance.
• Provide facilities with alternative medication options and the necessary steps to proceed with the claims process.
• Interaction with Pharmacy Representatives:
• Reach out to Registered Pharmacists (RPH) for recommendations on alternative medications when a prescribed drug is not covered.
• Gather information regarding dosages, application methods, and instructions for alternative medications to ensure the patient receives proper care.
• Documentation and Reporting:
• Keep detailed records of communication with healthcare providers, pharmacies, and patients regarding medication coverage and alternative options.
• Maintain a log of all claims tested, outcomes, and follow-up actions taken.

Requirements

• At least 6 months BPO experience
• Must have email experience
• US Healthcare Insurance experience is an advantage
• Good verbal and written English skills
• Willing to work in Buendia, Makati
• 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