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

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-up. - Review patient information, billing records, and supporting documentation to ensure claims are accurate and complete. - Submit medical claims to HMOs, insurance providers, and other relevant payers in accordance with established guidelines. - Monitor claim statuses and conduct timely follow-ups on pending, delayed, rejected, or denied claims. - Investigate claim denials, identify root causes, and coordinate necessary corrections, resubmissions, or appeals. - Perform cash posting and accurately record payments, adjustments, and other billing transactions. - Reconcile payments against submitted claims and investigate discrepancies or underpayments. - Maintain accurate and organized billing records and documentation. - Coordinate with internal teams and relevant stakeholders to resolve billing issues and support timely reimbursement. - Ensure compliance with applicable billing requirements, payer guidelines, and internal procedures. - Monitor outstanding claims and accounts receivable to help minimize payment delays and maintain an efficient revenue cycle. Requirements - At least 6 months BPO experience handling US Healthcare account - Good Working knowledge with HMO Billing (Claims, Denials, Cash Postings) - Knowledge on Revenue Cycle Management/ Accounts Receivable is a PLUS - Excellent written and verbal English communication skills - Amenable to work onsite in Shaw Blvd, Mandaluyong - Willing to work night shifts 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