ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare 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
Census Management:
- Review and process the daily Census report from the Prior Authorization Department, including new admissions and patient transfers.
- Cross-reference patient information with the Medicaid portal to determine whether authorizations are required.
- Accurately enter all patient data regardless of authorization status.
- Tag and flag cases that require authorization for tracking and escalation.
Authorization Follow-up:
- Identify and follow up on authorizations that have been pending for over 30 days.
- Contact insurance companies directly to obtain status updates and clarify where the case is pending in the review process.
- Document all communication and update case statuses in the system accordingly.
Requirements
- At least 6 months BPO experience handling US Healthcare Insurance
- Preferably with long term care, census, or authorizations experience
- Familiar with MS Tools (Word, Excel, Outlook)
- Good verbal and written English skills
- Must be willing to work on-site in Mandaluyong
- 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