Review and complete tasks assigned within the insurance call task page.
Contact insurance plans via phone or approved communication channels to:
Check the status of pending authorization requests.
Request backdating of approved authorizations when necessary.
Document all call outcomes, authorization details, and next steps in the appropriate systems with accuracy and completeness.
Follow established scripts, guidelines, and compliance requirements during insurance communications.
Escalate unresolved issues, discrepancies, or delays to supervisors or appropriate teams.
Collaborate with clinical, pharmacy, or billing teams to ensure proper follow-through based on updated authorization information.
Maintain confidentiality of patient information in compliance with HIPAA and organizational policies.
Meet productivity and quality standards for call volume, accuracy, and turnaround time.
Requirements:
At least 6 months BPO experience handling a US Healthcare Account
Knowledge in submitting and processing Prior-Authorization is a PLUS
Good verbal and written English skills
Willing to work onsite in 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
ISTA Solutions
Other Info
Permanent
Full-time
Submit profile
ISTA Solutions
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About the company