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

• At least 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, Claims
• SME or TL experience is a PLUS
• Medical Allied Grad
• Excellent verbal and written English communication skills
• Must be residing within GMA (Greater Manila Area)
• 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