Team Lead for Healthcare Account (VOB) | Get a 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!

Client specific toles 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

Verification of Benefits

• Verify patient insurance eligibility and benefits through payer portals, phone calls, and verification tools.
• Review and document coverage details including deductibles, copays, coinsurance, out-of-pocket limits, and plan exclusions.
• Confirm network status, authorization requirements, and benefit limitations based on treatment type or service line.
• Obtain prior authorizations when required and track authorization status.
• Communicate benefit summaries and financial responsibilities to admissions, clinical, and billing teams in a clear, timely manner.
• Maintain accurate documentation in the EHR, practice management system, or verification platform.
• Identify potential coverage issues that may affect reimbursement and notify appropriate departments.
• Follow payer-specific guidelines and stay updated with coverage policy changes.
• Support efforts to reduce denials and improve clean-claim submission rates.
• Maintain patient confidentiality and adhere to HIPAA and organizational compliance standards.

Requirements:
• With at least 1 year BPO experience handling US Healthcare Insurance
• Strong familiarity with U.S. Health Insurance (Medicare, Medicaid, Managed Care, Commercial plans).
• Understanding of key benefit terminology (deductibles, co-insurance, OOP max, HMO/PPO, SNF benefits, PDPM, etc.).
• Medical billing, prior authorization, or claims follow-up experience
• Knowledge with Revenue Cycle Management (RCM) is an advantage
• Skilled nursing facility (SNF) admissions or insurance coordination experience is a PLUS
• Proficiency with payer portals such as Availity, NaviNet, and payer-specific platforms.
• Strong computer literacy and ability to navigate multiple systems simultaneously.
• Willing to work onsite in Shaw Blvd, mandaluyong
• Amenable working night shift

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