Healthcare Prior Authorization CSR – Night Shift

ISTA Personnel Solutions; Mandaluyong; Sur place; PHP 279 000 - 424 000; Plein temps

Avantages offerts par ce poste

Health Insurance

Night differential

Attendance bonus

Paid time off

Leave credits

Performance appraisal

Work-life balance

Career growth

Learning opportunities

Résumé du poste

ISTA Solutions is seeking an experienced Healthcare Customer Representative to join our growing outsourcing team in Shaw Blvd, Mandaluyong. You will handle prior authorizations, engage with insurance payers, and support providers with efficient service.

The role requires at least 6 months of healthcare BPO experience, strong communication, and a willingness to work night shifts onsite. We offer competitive salary, health benefits, and opportunities for career growth.

Qualifications

• At least 6 months BPO experience in healthcare campaigns.
• Strong negotiation, communication, and problem-solving skills.
• Excellent verbal and written English skills.
• Attention to detail and strong organizational skills.

Responsabilités

• Submit and track prior authorization requests.
• Follow up on prior authorization statuses to ensure timely approvals.
• Rebill denied or rejected claims with appropriate corrections or additional documentation.
• Monitor and ensure that all authorized services are appropriately reimbursed by insurance payers.
• Maintain accurate and up-to-date records of authorization approvals and claim status.
• Communicate with insurance companies, healthcare providers, and internal teams to resolve issues affecting payment.

Connaissances

BPO experience

Negotiation

Communication

Problem solving

Attention to detail

Organization

English proficiency

Description du poste

ISTA Solutions is seeking an experienced Healthcare Customer Representative to join our growing outsourcing team in Shaw Blvd, Mandaluyong. You will handle prior authorizations, engage with insurance payers, and support providers with efficient service.

The role requires at least 6 months of healthcare BPO experience, strong communication, and a willingness to work night shifts onsite. We offer competitive salary, health benefits, and opportunities for career growth.