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

**Company:** [ISTA Personnel Solutions](http://jobs.workable.com/companies/iSt64sfgHWn4ef4KKpqeK9.md)
**Location:** Mandaluyong City, Philippines
**Workplace:** on site
**Employment type:** Full-time
**Department:** Philippine

[Apply for this job](http://jobs.workable.com/view/c2c7d99a-d396-4acc-a97d-186c541629f0)

## Description

**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 on claim status
-   Prepare and submit appeals, corrected claims, or additional documentation as required
-   Track and document all actions taken on claims for accurate record-keeping
-   Identify trends in denials and escalate recurring issues when necessary

## Requirements

-   6 months - 1 year BPO experience in a **US Healthcare Account**
-   Good working knowledge with **Claims** and **Denials**
-   Excellent verbal & written English skills 
-   Strong problem-solving skills 
-   Adaptability to a changing work environment  
-   Ability to remain calm under pressure 
-   Proficiency in using computer systems & relevant software 
-   Willing to work onsite in in **Shaw Blvd, 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