Apply on company website Mandaluyong City, Metro Manila, Philippines On-site Full-time USD 21,000 / year

ISTA Personnel Solutions is hiring a Team Lead (Individual Contributor) | Healthcare Account | 21K Signing Bonus

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Team Lead (Supervisor-Level, Individual Contributor) 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! The role focuses on claims processing, payment posting validation, denial management, and billing accuracy within electronic health record (EHR) systems. The ideal candidate must demonstrate strong accountability, critical thinking, and process ownership, despite not managing a team. Account specific roles and responsibilities: Claims & Billing Operations - Review and validate medical claims submissions for accuracy and completeness - Analyze approved, pending, and denied claims, ensuring proper follow-up and resolution - Refile or correct claims based on denial reasons (coding issues, eligibility, authorization, etc.) - Ensure patient billing accuracy, including adjustments and corrections Payment Posting & Reconciliation - Audit and validate payment postings in EHR systems - Ensure alignment between EOB/ERA and posted transactions - Identify discrepancies and escalate or resolve accordingly Denial Management - Investigate root causes of claim denials - Recommend corrective actions to prevent recurring issues - Track and manage denial trends and ensure timely resolution Data Entry & Quality Control - Perform high-volume, accurate data entry and documentation - Maintain organized records within client systems - Conduct quality checks to ensure compliance with client standards Client Collaboration - Work directly with the US-based client stakeholders - Provide updates, insights, and recommendations on claims performance - Demonstrate supervisor-level ownership and decision-making Process Improvement - Identify inefficiencies and suggest process improvements - Act as a subject matter expert (SME) in claims and billing workflows - Support documentation and standardization of processes
Job Details
Location Mandaluyong City, Metro Manila, Philippines
Work mode On-site
Employment Full-time
Salary USD 21,000 / year
Category other
Posted 3 months ago
Application On company website
About company
ISTA Personnel Solutions
ISTA Solutions is home to rockstar professionals who aim to be engaged in defining and building an employee centric culture, focused on long term success, work-life balance, and life-long learnings. From the industries we support, to the functions we perform, ISTA has structured ourselves differently from other outsourcing companies; effectively setting ourselves apart from the rest of the pack.
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