ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Team Lead / SME 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!
Join our team! Earn up to 33.5K monthly!
Responsibilities:
- Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness and obtaining any missing information.
- Following up on unpaid claims within the standard billing cycle timeframe.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
Requirements
- At least 1 Year experience as a SME or TL for a US Healthcare program
- Knowledge in different types of insurances and verification (Medicare, Medicaid, PPO, HMO) Update claims with the correct payer.
- Handled underpayment, overpayment, co-insurance, co-pay, deductible, out-of-pocket pay, claims and other billing concerns.
- Experience in Medical Billing or Revenue Cycle Management is a plus.
- Experience in dealing with providers is a plus.
- Experience in Cash/Payment Posting and Accounts Receivable is an advantage.
- Good to excellent English communication skills
- Willing to work onsite in Shaw, 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
- Stong 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
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Last updated on Aug 28, 2024