Voice CSR | Healthcare Account | With 21K Signing Bonus

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare CSR 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

• Review and complete tasks assigned within the insurance call task page.
• Contact insurance plans via phone or approved communication channels to:
• Check the status of pending authorization requests.
• Request backdating of approved authorizations when necessary.
• Document all call outcomes, authorization details, and next steps in the appropriate systems with accuracy and completeness.
• Follow established scripts, guidelines, and compliance requirements during insurance communications.
• Escalate unresolved issues, discrepancies, or delays to supervisors or appropriate teams.
• Collaborate with clinical, pharmacy, or billing teams to ensure proper follow-through based on updated authorization information.
• Maintain confidentiality of patient information in compliance with HIPAA and organizational policies.
• Meet productivity and quality standards for call volume, accuracy, and turnaround time.

Requirements:
• At least 6 months BPO experience handling a US Healthcare Account
• Knowledge in submitting and processing Prior-Authorization is a PLUS
• Good verbal and written English skills
• Willing to work onsite in 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