- Where
- Makati, Metro Manila, Philippines
- Level
- Mid
ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller 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
Verify patients’ insurance eligibility, benefits, and coverage details.
Contact insurance providers to confirm benefits, coverage limitations, deductibles, copayments, and authorization requirements.
Process and submit medical claims accurately and within established timelines.
Monitor claim statuses and follow up on pending, rejected, or denied claims.
Investigate billing discrepancies and coordinate claim corrections or resubmissions.
Maintain accurate patient insurance and billing records.
Communicate with internal teams, healthcare providers, and insurance companies to resolve billing and coverage concerns.
Ensure compliance with payer requirements and internal procedures.
Requirements
At least 6 months BPO experience handling US Healthcare Insurance
Experience with claims, denials, appeals
Must have VOB (Verification of Benefits) experience
Strong problem-solving skills
Adaptability to a changing work environment
Ability to remain calm under pressure
Good verbal and written English skills
Willing to work onsite in Makati
Amenable working night shifts
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