Prior Authorization | Healthcare CSR | Get a 21K Signing Bonus
Posted 14 days ago
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 complete prior authorization workflow from initiation to final determination.
- Review patient records and provider documentation to verify authorization requirements.
- Submit prior authorization requests to insurance carriers for services and procedures across Dental, Audiology, Cardiology, Pulmonology, Gastroenterology, and Women's Health specialties.
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status and requirements.
- Monitor authorization requests, conduct follow-ups, and resolve pending or denied cases.
- Maintain accurate and up-to-date documentation in electronic health record (EHR) and practice management systems.
- Ensure compliance with payer policies, regulatory requirements, and organizational procedures.
- Escalate complex cases and collaborate with clinical teams to obtain additional supporting documentation when necessary.
- Track authorization outcomes and assist in identifying process improvement opportunities.
Requirements
- At least 6 months BPO experience
- Healthcare Account experience is a PLUS
- Excellent verbal and written English skills
- Willing to work onsite in 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
Other open roles at ISTA Personnel Solutions(6)
Welcome to ISTA Solutions, your go-to remote staffing solutions provider. We understand the challenges businesses face when managing their workflows and finding the right people to execute their vision. That's why we exist—to be your dedicated partner in growth. Here are some reasons why our services are a must-have for your business: -We provide tailor-made workflow solutions that cater to your unique business requirements, helping you streamline your operations, reduce the turnaround time, and maximize efficiency. -Our agents are skilled, experienced, and solely focused on your company. They are trained to deliver outstanding results while working closely with your team and adhering to your company's culture. -We leverage our global resources to provide comprehensive support for your business, including technical assistance, billing services, and recruitment. This way, you can focus on growing your business while we take care of the back-end operations. At ISTA Solutions, we believe in the power of building strong relationships with our clients. We strive to be your long-term partner in success, providing ongoing support and guidance to help you navigate through any challenges that may arise. We understand the importance of transparency and honesty in business. That's why we pride ourselves on being open, ethical, and straightforward in all our client interactions. Without ISTA, healthcare companies commonly face: -Overburdened workforce -Increased demand for productivity -The need to reduce operational costs -The lack of specialized expertise in-house -Difficulty finding reliable remote staff We know that these problems can have a big effect on the growth and success of your business, which is why we're here to offer you complete remote staffing solutions. Whether you need customer service support, technical assistance, or a team of virtual assistants, we have the expertise to help you achieve your business goals.
Key team members
Nicole Barrish
DJ Narvaez RN
Cindy Mojela
Carmin Myburgh
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