ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare CSR 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 and Responsibilities
- Monitor automated alerts for high-cost medications that are non-covered or have lower-cost alternatives available
- Assess suggested therapeutic alternatives for clinical appropriateness and cost-effectiveness
- Contact healthcare facilities in real time to communicate recommendations for medication substitution
- Collaborate with providers, pharmacists, and care teams to facilitate timely decision-making
- Document interventions, recommendations, and outcomes in accordance with organizational standards
- Ensure compliance with clinical guidelines, payer policies, and regulatory requirements
- Support initiatives aimed at reducing overall medication costs without compromising patient care
Requirements
- At least 6 months BPO experience handling a US Healthcare Account
- Experience with Medication/Prescription is a PLUS
- Excellent verbal and written English skills
- Willing to work onsite in 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