Healthcare Claims Specialist — Night Shift & Benefits

ISTA Solutions; Mandaluyong; On-site; PHP 250,000 - 420,000; Full time

Job summary

ISTA Solutions in Mandaluyong is seeking an experienced Healthcare Customer Service Representative to review ambulance insurance claims and ensure accurate adjudication, while maintaining HIPAA-compliant practices. The role requires healthcare experience and strong English communication.

The position involves working onsite during night shifts in Mandaluyong, with emphasis on attention to detail and knowledge of medical codes to support accurate claims processing.

Qualifications

• Healthcare experience in a customer service or claims role.
• Strong English communication skills for client interaction.
• Excellent attention to detail and accuracy in claims adjudication.
• Knowledge of medical codes and HIPAA-compliant practices.

Responsibilities

• Review ambulance insurance claims for accuracy and adjudication.
• Communicate with clients to clarify information and resolve inquiries.
• Ensure HIPAA-compliant handling of patient data and claims information.

Skills

Healthcare experience

English communication

Attention to detail

HIPAA compliance

Night shift in Mandaluyong

Job description

ISTA Solutions is seeking an experienced Healthcare Customer Service Representative to join our growing team in Mandaluyong. You will review ambulance insurance claims, communicate with clients, and ensure accurate adjudication with HIPAA-compliant practices.

The role requires healthcare experience, strong English communication, attention to detail, and the ability to work onsite during night shifts in Mandaluyong. Medical codes knowledge is essential.