ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist 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:
Manage the end-to-end medical billing process, including claim preparation, submission, tracking, and follow-up.
Review patient information, billing records, and supporting documentation to ensure claims are accurate and complete.
Submit medical claims to HMOs, insurance providers, and other relevant payers in accordance with established guidelines.
Monitor claim statuses and conduct timely follow-ups on pending, delayed, rejected, or denied claims.
Investigate claim denials, identify root causes, and coordinate necessary corrections, resubmissions, or appeals.
Perform cash posting and accurately record payments, adjustments, and other billing transactions.
Reconcile payments against submitted claims and investigate discrepancies or underpayments.
Maintain accurate and organized billing records and documentation.
Coordinate with internal teams and relevant stakeholders to resolve billing issues and support timely reimbursement.
Ensure compliance with applicable billing requirements, payer guidelines, and internal procedures.
Monitor outstanding claims and accounts receivable to help minimize payment delays and maintain an efficient revenue cycle.
Requirements
At least 6 months BPO experience handling US Healthcare account
Good Working knowledge with HMO Billing (Claims, Denials, Cash Postings)
Knowledge on Revenue Cycle Management/ Accounts Receivable is a PLUS
Excellent written and verbal English communication skills
Amenable to work onsite in Shaw Blvd, Mandaluyong
Willing to work 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