ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Team Lead 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:
Team Lead
- Oversees daily operations for all agents delivering high-quality and valued services
- Conduct training and coaching, including insights and action plans to improve
- Analyze and report on productivity and other metrics - such as attendance, end-of-day reports, and compliance with company protocols
- Ensure that the client is updated on significant program activities, issues, and concerns through calls, emails, meetings, reports
- Perform other supervisory tasks as required
Claims and Denials
- 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
Apply on company website Makati City, Metro Manila, Philippines On-site Full-time 21K