Team Lead | Back Office (Healthcare) | 21K Signing Bonus

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Team Lead 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:

Team Lead

• Oversees daily operations for all agents delivering high-quality and valued services
• Conduct training and coaching, including insights and action plans to improve
• Analyze and report on productivity and other metrics - such as attendance, end-of-day reports, and compliance with company protocols
• Ensure that the client is updated on significant program activities, issues, and concerns through calls, emails, meetings, reports
• Perform other supervisory tasks as required

Claims & Billing Operations

• Review and validate medical claims submissions for accuracy and completeness
• Analyze approved, pending, and denied claims, ensuring proper follow-up and resolution
• Refile or correct claims based on denial reasons (coding issues, eligibility, authorization, etc.)
• Ensure patient billing accuracy, including adjustments and corrections

Payment Posting & Reconciliation

• Audit and validate payment postings in EHR systems
• Ensure alignment between EOB/ERA and posted transactions
• Identify discrepancies and escalate or resolve accordingly

Denial Management

• Investigate root causes of claim denials
• Recommend corrective actions to prevent recurring issues
• Track and manage denial trends and ensure timely resolution

Data Entry & Quality Control

• Perform high-volume, accurate data entry and documentation
• Maintain organized records within client systems
• Conduct quality checks to ensure compliance with client standards

Client Collaboration

• Work directly with the US-based client stakeholders
• Provide updates, insights, and recommendations on claims performance
• Demonstrate supervisor-level ownership and decision-making

Process Improvement

• Identify inefficiencies and suggest process improvements
• Act as a subject matter expert (SME) in claims and billing workflows
• Support documentation and standardization of processes

Requirements:
• At least 1-year BPO experience handling a Healthcare Account
• At least 6 months of team lead / supervisory or trainer experience
• Must have keen attention to details
• Must know how to use MS Word, Excel, Outlook
• Excellent verbal and written English skills
• Willing to work ONSITE in Shaw Blvd, 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