Healthcare Prior Authorization Specialist - Night Shift

ISTA Solutions; Mandaluyong; Vor Ort; PHP 223.000 - 357.000; Vollzeit

Benefits dieser Stelle

Salary & benefits

Health insurance for dependents

Night differential

Attendance bonus

Paid time off

Leave credits

Performance appraisal

Work-life balance

Career growth

Skills development

Zusammenfassung

ISTA Solutions is seeking an experienced Healthcare Customer Representative to join our growing team in Mandaluyong. You will handle prior authorization requests, track approvals, and ensure accurate reimbursement of services by insurance payers.

You should have at least 6 months BPO experience in healthcare, excellent English communication, attention to detail, and willingness to work onsite night shifts. Join us for a balanced, growth-focused role.

Qualifikationen

• At least 6 months BPO experience in Healthcare campaigns.
• Strong negotiation, communication, and problem-solving skills.
• Good verbal and written English skills.
• Attention to detail and strong organizational skills.
• Willing to work onsite in Shaw Blvd, Mandaluyong.
• Amenable working night shift.

Aufgaben

• 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.

Kenntnisse

BPO experience

Negotiation

Communication

Problem-solving

English proficiency

Attention to detail

Night shift

Onsite work

Jobbeschreibung

ISTA Solutions is seeking an experienced Healthcare Customer Representative to join our growing team in Mandaluyong. You will handle prior authorization requests, track approvals, and ensure accurate reimbursement of services by insurance payers.

You should have at least 6 months BPO experience in healthcare, excellent English communication, attention to detail, and willingness to work onsite night shifts. Join us for a balanced, growth-focused role.