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Prior Authorization CSR | Blended Account | SPX

Salary undisclosed

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ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced HEALTHCARE CUSTOMER SERVICE REPRESENTATIVE 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 & responsibilities:

  • Supply medications to nursing homes, ensuring timely delivery and compliance with regulations
  • Utilize advanced technology for easy access to medication management
  • Manage prior authorizations using Integra to facilitate medication approval processes
  • Address and resolve billing rejected claims in a timely manner
  • Handle collections of unpaid balances, ensuring effective communication with nursing homes


Requirements

  • At least 6 months of experience as a BPO CSR handling a US HEALTHCARE INSURANCE account
  • Detailed oriented and organized
  • Excellent communication and interpersonal skills
  • Ability to prioritize and multitask in a fast-paced environment
  • Strong problem-solving skills and ability to work independently and as part of a team
  • Willing to work onsite in Buendia, Makati
  • 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