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:
- Perform accurate data entry for claims submission in accordance with insurance guidelines
- Verify patient information using insurance portals to ensure accuracy and completeness
- Handle and process prior authorizations as required by insurance providers
- Cross-check and validate insurance eligibility, coverage, and plan details
- Ensure timely and compliant submission of medical claims
- Coordinate with relevant departments to gather missing or incomplete information
- Maintain and update patient records and documentation accurately
- Follow up on pending claims or prior authorization requests as needed
- Adhere to data privacy policies and HIPAA regulations
Requirements
- Above average verbal and written English communication skills
- Healthcare experience is required, preferably in a BPO or clinical setting
- Experience in medical claims and prior authorizations is preferred but not mandatory
- Basic knowledge of medical and diagnosis codes (ICD/CPT) is an advantage
- Strong attention to detail
- Must demonstrate the ability to work with accuracy and efficiency in data-sensitive tasks
- Strong organizational and time management skills
- Ability to adapt in a fast-paced, client-focused environment
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