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Medical Billing Specialist | US HMO | Get a 21K Signing Bonus

ISTA Solutions · Mandaluyong, National Capital Region, Philippines

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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-upReview patient information, billing records, and supporting documentation to ensure claims are accurate and completeSubmit medical claims to HMOs, insurance providers, and other relevant payers in accordance with established guidelinesMonitor claim statuses and conduct timely follow-ups on pending, delayed, rejected, or denied claimsInvestigate claim denials, identify root causes, and coordinate necessary corrections, resubmissions, or appealsPerform cash posting and accurately record payments, adjustments, and other billing transactionsReconcile payments against submitted claims and investigate discrepancies or underpaymentsMaintain accurate and organized billing records and documentationCoordinate with internal teams and relevant stakeholders to resolve billing issues and support timely reimbursementEnsure compliance with applicable billing requirements, payer guidelines, and internal proceduresMonitor outstanding claims and accounts receivable to help minimize payment delays and maintain an efficient revenue cycleRequirementsAt least 6 months BPO experience handling US Healthcare accountGood Working knowledge with HMO Billing (Claims, Denials, Cash Postings)Knowledge on Revenue Cycle Management/ Accounts Receivable is a PLUSExcellent written and verbal English communication skillsAmenable to work onsite in Shaw Blvd, MandaluyongWilling to work night shiftsBenefitsWhat can we offer you?Competitive salary and benefitsHealth Insurance with free dependents*10%-night differentialAttendance BonusPaid time offConvertible to cash leave creditsPerformance AppraisalWork-life balanceA focus on growing your career path with usWe encourage you to follow your passions and learn new skillsOur commitment to youStrong culture and values-driven leadershipWe create opportunities for you to learn and grow at any stage of your career Continuous learning and innovationWe foster an all inclusive environment where everyone thrives