Prior Authorization | Healthcare CSR | Get a 25K Signing Bonus

ISTA Personnel Solutions; Makati; On-site; PHP 246,000 - 424,000; Full time

Benefits offered by this job

Health Insurance with dependents*

10%-night differential

Attendance Bonus

Paid Time Off

Convertible to cash leave creditsy

Performance Appraisal

Work-Life Balance

Career growth opportunities

Skills development

Job summary

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!

Qualifications

• 6 months BPO experience
• Healthcare account experience is a plus
• Good verbal and written English communication skills
• Willing to work onsite in Makati
• Amenable working night shift

Responsibilities

• Handle the end-to-end prior authorization process for Dental, Radiology, WH, and Specialty departments.
• Review and verify patient information, eligibility, and insurance coverage.
• Process and submit authorization requests to insurance providers.
• Monitor and follow up on pending, approved, and denied requests.
• Coordinate with healthcare providers and insurance companies regarding authorization concerns.
• Ensure timely processing and accurate documentation of all authorization requests.

Skills

BPO experience

English communication

Night shift

Team player

Healthcare knowledge

Job description

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:

• Handle the end-to-end prior authorization process for Dental, Radiology, WH, and Specialty departments.
• Review and verify patient information, eligibility, and insurance coverage.
• Process and submit authorization requests to insurance providers.
• Monitor and follow up on pending, approved, and denied requests.
• Coordinate with healthcare providers and insurance companies regarding authorization concerns.
• Ensure timely processing and accurate documentation of all authorization requests.

• At least 6 months BPO experience
• Healthcare Account experience is a PLUS
• Good verbal and written English communication skills
• Willing to work onsite in Makati
• Amenable working night shift

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 creditsy
• 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