Healthcare Claims Specialist — Night Shift, Onsite

ISTA Personnel Solutions; Mandaluyong; On-site; PHP 279,000 - 469,000; Full time

Benefits offered by this job

Competitive salary

Health insurance for dependents

Night differential 10%

Attendance bonus

Paid time off

Cash leave credits

Performance appraisal

Work-life balance

Career growth

Learning opportunities

Job summary

ISTA Solutions in Mandaluyong is seeking an experienced Healthcare Customer Service Representative to join our expanding team. The role involves handling ambulance insurance claims, liaising with clients, and ensuring accuracy and compliance with medical coding and regulatory standards.

The ideal candidate has at least 6 months of healthcare experience, strong English communication, attention to detail, and the ability to work onsite on night shifts.

Qualifications

• Minimum 6 months healthcare experience.
• Strong verbal and written English communication.
• Knowledge of medical/diagnosis codes.
• Detail-oriented with a focus on accuracy.
• Willing to work onsite in Mandaluyong and night shift.

Responsibilities

• Review and process ambulance insurance claims, ensuring accuracy and compliance with client and insurance requirements.
• Work directly with clients to address inquiries, provide updates, and resolve claim-related concerns.
• Verify claim details including eligibility, coverage, and supporting documentation.
• Apply knowledge of medical and diagnosis codes to ensure correct claim submission and adjudication.
• Identify and escalate discrepancies, denials, and appeals as needed.
• Maintain accurate and timely claim records in line with company and client standards.
• Uphold confidentiality and compliance with HIPAA guidelines.

Skills

Verbal communication

Written communication

Attention to detail

Independent work

Healthcare experience

Job description

ISTA Solutions in Mandaluyong is seeking an experienced Healthcare Customer Service Representative to join our expanding team. The role involves handling ambulance insurance claims, liaising with clients, and ensuring accuracy and compliance with medical coding and regulatory standards.

The ideal candidate has at least 6 months of healthcare experience, strong English communication, attention to detail, and the ability to work onsite on night shifts.