Insurance Verification and Authorization (IV/Auth) Specialist | Onsite, Night shift

MicroSourcing; Taguig; On-site; PHP 223,200 - 357,120; Full time

Benefits offered by this job

Above-market compensation and health‑c

Healthcare coverage starting Day 1

Paid time-off with cash conversion

Group life insurance

Performance bonuses

Flexible work arrangements

Career advancement

Diverse and inclusive team culture

Job summary

MicroSourcing in Taguig is seeking an Insurance Verification and Authorization Specialist to verify patient eligibility and initiate authorizations with US payers. You will coordinate with clinical teams, document thoroughly, and ensure compliance with HIPAA standards.

The role requires strong communication, attention to detail, and the ability to navigate payer guidelines while supporting timely submissions for claims and services.

Qualifications

• US healthcare experience in insurance verification and authorization.
• Senior high school diploma or equivalent.
• Experience with EMR systems (Epic/Cerner/Meditech).
• Knowledge of verification processes and payer portals.
• Proficient in MS Office applications.

Responsibilities

• Verify insurance eligibility and benefits for patient services.
• Review and obtain required authorizations; follow up to meet timelines.
• Outreach to payers, providers, and patients for missing documents.
• Enter and maintain authorization and demographic data in client systems.
• Maintain HIPAA compliance and confidentiality; support productivity standards.

Skills

English communication

Attention to detail

Analytical thinking

Problem solving

Time management

Teamwork

Education

Senior High School Diploma

Bachelor’s degree preferred (Philippines)

Tools

Epic

Cerner

Meditech

MS Office

Job description

Discover your 100% YOU with MicroSourcing!

Position

Insurance Verification and Authorization (IV/Auth) Specialist

Location

BGC, Taguig City

Work Setup & Shift

Onsite | Night shift

Benefits

• Above‑market compensation and healthcare coverage starting Day 1, including dependents
• Paid time‑off with cash conversion, group life insurance, and performance bonuses
• Collaborative spirit with company‑sponsored events and activities
• Flexible work arrangements for work‑life harmony
• Opportunities for continuous learning and career advancement
• Diverse and inclusive team culture

Your Role

The Insurance Verification and Authorization (IV/Auth) Specialist verifies eligibility and initiates or follows up on prior authorization requests with insurance companies, providers, and patients in the United States. They ensure timely and accurate processing of authorization requests, coordinate with clinical teams, and maintain compliance with payer guidelines and HIPAA standards. Excellent communication skills, attention to detail, and strong analytical and problem‑solving abilities are essential for success in this role.

Key Responsibilities

• Insurance Verification
  • Verify insurance and benefit eligibility for patient services
• Authorization
  • Review clinical documentation and insurance guidelines to determine authorization requirements
  • Verify accuracy of provider‑obtained authorizations—including CPT code, patient demographics, and effective dates
  • Obtain authorizations for scheduled services from insurance or third parties as necessary
  • Ensure timely submission and follow‑up of prior authorization requests to meet turnaround time expectations
  • Escalate authorization denials or delays to the appropriate team (e.g., Patient Access, Billing)
  • Notify admission status as required by payers
  • Review medical necessity criteria and payer‑specific guidelines when needed
• Payer and Patient Outreach and Communication
  • Perform outbound calls and online inquiries to insurance companies, providers, and patients to verify eligibility and initiate/follow up on prior authorization requests
  • Handle inbound calls from U.S. patients and providers with effective communication skills, empathy, and familiarity with healthcare or revenue cycle management processes
  • Coordinate with physician offices and clinical teams to obtain missing documentation
• Documentation
  • Accurately enter and update authorization, eligibility, benefit, and patient demographic details in the client system (e.g., Epic, Meditech, Cerner)
  • Document all payer communication and account activity according to defined standards
• Maintain a high level of confidentiality, professionalism, and compliance with HIPAA and other regulatory standards to protect patient information
• Adhere to the IV/Auth quality and productivity standards established by the organization

Qualifications and Non‑Negotiables

• At least one year of U.S. healthcare industry experience completing insurance verification and authorization activities
• Senior High School Diploma or equivalent
• Experience with an electronic medical record (EMR) system (e.g., Epic, Cerner, Meditech)
• Strong understanding of insurance verification processes and benefit determination
• Familiarity with payer portals and insurance websites for checking authorization and eligibility status
• Proficiency in MS Office (Word, Outlook, Excel)
• Excellent verbal and written English communication skills (CEFR B2 or higher)
• Willingness to work night shifts and adapt to U.S. time zones

Soft Skills

• Ability to prioritize amid competing priorities
• Strong analytical and critical thinking skills
• Ability to analyze raw data, draw conclusions, and develop actionable recommendations
• Adapt quickly to new and changing technical environments
• Attention to detail and strong follow‑up skills
• Comfortable making complex decisions independently
• Good judgment, discretion, and decision‑making abilities
• Teamwork and integrity in all work activities
• Professional interaction with internal and external customers

Preferred Skills / Expertise

• Two or more years of U.S. healthcare industry experience completing insurance verification and authorization activities
• Philippine bachelor’s degree or equivalent preferred
• Knowledge of CPT and ICD‑10 coding

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

MicroSourcing firmly believes that our company’s strength lies in our people’s diversity and talent. We provide space for everyone, embracing different perspectives and opportunities for each individual to thrive.

Terms & conditions apply.