US Healthcare Insurance Supervisor | WFH | L-CM

Position Overview

• Location Type: Remote
• Job Type: Full-time
• Company: ISTA Solutions

ISTA Solutions, an outsourcing/offshoring company, is seeking an experienced US Healthcare Insurance Supervisor 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!

Requirements

• Experience: At least 2 years BPO experience in a Healthcare Account
• Knowledge: Knowledgeable in US Healthcare Insurance, Medicare/Medicaid, and related items
• Skills: Good working knowledge with Pre-Certifications, Authorizations, Appeals, and Claims
• Bonus: SME or TL experience is a plus
• Education: Medical Allied Grad
• Communication: Excellent verbal and written English communication skills
• Location: Must be residing within GMA (Greater Manila Area)
• Schedule: Amenable working night shifts

Responsibilities

• Processing Initial or Pre Authorization via Phone or via Email
• Communicating to insurance providers for authorization determination
• Coordinating with US healthcare facilities and insurance providers
• Processing verification of members benefits
• Reviewing Members clinical records
• Conducting coaching for skill development to agents

Benefits

• Compensation: Competitive salary and benefits
• Health Insurance: Health Insurance with free dependents*
• Night Differential: 10%-night differential
• Bonus: Attendance Bonus
• Time Off: Paid time off
• Leave: Convertible to cash leave credits
• Performance Appraisal: Performance Appraisal
• Work-Life Balance: Work-life balance
• Career Growth: A focus on growing your career path with us
• Culture: 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.

Additional Details

• Employment Type: Full-time
• Workplace: Remote
• Language: English (en)
• Department: PH - Operations
• Published Date: 2025-02-20
• Remote: Yes