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 InsurancePreferably with long term care, census, or authorizations experienceFamiliar with MS Tools (Word, Excel, Outlook)Good verbal and written English skillsMust be willing to work on-site in MandaluyongAmenable working night shiftsBenefits
What can we offer you?
Competitive salary and benefitsHealth Insurance with free dependents10%-night differentialAttendance BonusPaid time offConvertible to cash leave creditsPerformance AppraisalWork-life balanceA focus on growing your career path with usWe encourage you to follow your passions and learn new skillsOur commitment to you
Strong culture and values-driven leadershipWe create opportunities for you to learn and grow at any stage of your careerContinuous learning and innovationWe foster an all inclusive environment where everyone thrives