Insurance Verification and Authorization (IV/Auth) Auditor

MicroSourcing; Taguig; On-site; PHP 781,200 - 1,227,600; Full time

Benefits offered by this job

Healthcare on day one

Paid time off with cash conversion

Group life insurance

Performance bonuses

Above-market compensation

Job summary

MicroSourcing in Taguig is seeking an Insurance Verification and Authorization (IV/Auth) Auditor to supervise the IV/Auth team, hire, onboard, and schedule staff while ensuring accurate verifications and timely authorizations.

You will monitor workflows to meet SLAs and KPIs, implement process improvements to reduce denials and billing holds, and collaborate with clients, healthcare professionals, and IT teams. A US healthcare revenue cycle background and leadership experience are required.

Qualifications

• US healthcare revenue cycle experience in insurance verification and authorization
• Supervisory experience (1+ year) in a team environment
• Bachelor’s degree or equivalent in a relevant field
• CEFR B2 English proficiency
• Experience with payer portals and authorization tools such as Availity

Responsibilities

• Supervise and support the IV/Auth team, including hiring, onboarding, scheduling, and performance management
• Monitor workflows to ensure SLAs and KPIs (productivity, accuracy, turnaround time) are met
• Implement process improvements to increase efficiency and reduce denials, write-offs, and billing holds
• Oversee audits and accuracy reviews to ensure compliance with payer requirements and regulatory guidelines
• Address denials by partnering with the billing and A/R teams to identify root causes and solutions
• Collaborate with clients, healthcare professionals, and IT teams to support clean claim generation and system optimization
• Mentor team members, support succession planning, and provide education on payer policy updates

Skills

Team leadership

Process improvement

Analytical thinking

English communication

Education

Bachelor’s degree in Business/Health Information Management/Healthcare Administration or related field

Tools

Availity

Epic

Cerner

Meditech

Tableau

Power BI

Microsoft Office

Job description

Insurance Verification and Authorization (IV/Auth) Auditor

Location: Taguig, Metro Manila, Philippines. Full-Time, On-Site.

Position

Insurance Verification and Authorization (IV/Auth) Auditor

Location

BGC, Taguig City

Work setup & shift

Onsite, Night shift.

Why join MicroSourcing?

• Competitive Rewards – Above-market compensation, healthcare coverage on day one for you and your dependents, paid time-off with cash conversion, group life insurance, and performance bonuses.
• A Collaborative Spirit – Be part of a positive and engaging work environment through company-sponsored events and activities.
• Work-Life Harmony – Experience a balance that suits your lifestyle with flexible work arrangements.
• Career Growth – Access continuous learning opportunities and career advancement.
• Inclusive Teamwork – Join a diverse team that values inclusion and celebrates individuality.

Your Role

• Supervise and support the IV/Auth team, including hiring, onboarding, scheduling, and performance management.
• Monitor workflows to ensure SLAs and KPIs (productivity, accuracy, turnaround time) are met, adjusting workloads to prevent backlogs.
• Implement process improvements to increase efficiency and reduce denials, write-offs, and billing holds.
• Oversee audits and accuracy reviews to ensure compliance with payer requirements and regulatory guidelines.
• Address denials by partnering with the billing and A/R teams to identify root causes and solutions.
• Collaborate with clients, healthcare professionals, and IT teams to support clean claim generation and system optimization.
• Mentor team members, support succession planning, and provide education on payer policy updates.

What You Need

• Experience: At least 4 years of US healthcare revenue cycle experience in insurance verification and authorization, with 1+ year in a supervisory role.
• Education: Bachelor’s degree or equivalent in Business, Health Information Management, Healthcare Administration, or a related field.
• Technical Knowledge: Strong understanding of insurance verification, prior authorization, CPT/ICD-10 codes, and payer guidelines.
• Systems: Experience with payer portals, eligibility and authorization tools (e.g., Availity), and EMR systems such as Epic, Cerner, or Meditech.
• Communication: Excellent English communication skills (minimum CEFR B2).

Preferred Skills

• Leadership: Experience managing hybrid or remote teams and handling multi-workstream performance improvement initiatives.
• Tools: Proficiency in Microsoft Office and data analytics tools such as Tableau or Power BI.
• Industry Exposure: Experience working with US healthcare providers or payers.
• Soft Skills: Strong analytical thinking, sound judgment, and ability to handle sensitive patient data in compliance with HIPAA standards.

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the Philippines’ pioneer and largest offshore provider of managed services. We believe our strength lies in our people. Our commitment to 100% YOU means fostering a culture that values diversity, inclusion, and authenticity. Here, individuality is celebrated, and growth is supported.