ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced US Healthcare Insurance Coordinator 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

• Processing Initial or Pre Authorization via Phone or via Email           
• Communicating to insurance providers for authorization determination
• Coordinating with US healthcare facilities and insurance providers           
• Processing verification of members benefits           
• Reviewing Members clinical records                   
• Conduct coaching for skill development to agents   

Requirements

• 1 - 2 years BPO experience in a Healthcare Account
• Knowledgeable in US Healthcare Insurance, Medicare/Medicaid, and related items
• Good working knowledge with Pre-Certifications, Authorizations, Appeals
• SME or TL experience is a PLUS, not required
• Medical Allied / PHRN graduate is an Advantage
• Excellent verbal and written English communication skills
• Willing to work onsite in Buendia, Makati
• Amenable working night shifts

Please refer to job description.