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Claims Specialist (US Healthcare) | Get a 21K Signing Bonus

Company

ISTA Personnel Solutions

Location

mandaluyong, Philippines

Type

Full-time

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Claims 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

  • Review and analyze denied claims to determine root causes and appropriate next steps
  • Address and resolve claims based on the most common denial reasons as well as unique or complex scenarios
  • Navigate multiple billing and payer portals to gather claim information and submit corrections or appeals
  • Contact insurance companies via phone or online systems to clarify denial details and follow up ...

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