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Back-Office Associate | Healthcare Claims | Get a 21K Signing Bonus

Mandaluyong, Metro Manila, PhilippinesRemoteFull-time

AI Summary

A Back-Office Associate processes and follows up on healthcare insurance claims, reviews provider EOBs, investigates and resolves denials, contacts insurers for status and payment updates, and maintains accurate billing records.

About this role

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Back-Office Associate 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:

  • Process and follow up on insurance claims.
  • Review Provider EOBs and identify billing discrepancies.
  • Investigate and resolve denied claims.
  • Contact insurance companies regarding claim status, payments, and denials.
  • Maintain accurate billing records and documentation.

Requirements

  • At least 6 months BPO experience handling a Healthcare Account
  • Knowledge of processing insurance claims, including reviewing Provider EOBs (Explanation of Benefits).
  • Familiar with insurance denials and the resolution process.
  • Experience calling insurance companies to verify claim status and resolve billing issues.
  • Good verbal and written English communication skills
  • Willing to work onsite in Shaw Blvd, Mandaluyong
  • Amenable working night shift

Benefits

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 credits
  • 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

Skills

Billing Records MaintenanceBPO Healthcare ExperienceDenied Claims InvestigationInsurance Claims ProcessingInsurance Verification CallsMicrosoft OfficeNight Shift AvailabilityProvider EOB Review

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