Insurance Verification And Authorization IV Auth Auditor Onsite Night Shift

Talentmate; Taguig; On-site; PHP 800,000 - 1,200,000; Full time

Benefits offered by this job

Healthcare coverage

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Team events

Job summary

MicroSourcing is seeking an Insurance Verification and Authorization Auditor to lead daily IV/Auth operations onsite in Taguig. The role focuses on accurate verification, timely authorizations, and ensuring revenue cycle performance.

You will supervise the IV/Auth team, optimize workflows, and partner with billing, A/R, and IT to reduce denials and enhance clean claim generation. A strong leadership mindset and knowledge of payer guidelines are essential.

Qualifications

• 4+ years US healthcare revenue cycle experience in insurance verification and authorization.
• 1+ year in a supervisory role.
• Bachelor's degree or equivalent in Business/Health Information Management or related field.

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, 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.

Skills

Leadership

English communication

Analytical thinking

Team supervision

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Availity

Epic

Cerner

Meditech

Job description

Job Description:

Position

Insurance Verification and Authorization (IV/Auth) Auditor

Location

BGC, Taguig City

Work setup & shift

Onsite, Night shift

Why join MicroSourcing?

Competitive Rewards

Enjoy 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.

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

As an Insurance Verification and Authorization (IV/Auth) Auditor, you will oversee daily operations and ensure efficient, accurate, and compliant insurance verification and authorization processes to support patient care and revenue cycle performance.

You Will

• 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.

Join us in celebrating YOU and your 100%.

For more information, visit https://www.microsourcing.com/

Terms & conditions apply