Job Title
Insurance Verification and Authorization (IV/Auth) Supervisor
Location
Taguig, Metro Manila, Philippines
Work Setup & Shift
On-site, Night shift
Compensation
91,000 – 120,000 PHP per month
Your Role
As an Insurance Verification and Authorization (IV/Auth) Supervisor, you will oversee daily operations and ensure efficient, accurate, and compliant insurance verification and authorization processes to support patient care and revenue cycle performance.
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
Requirements (Non‑negotiables)
- Experience: At least 4 years of U.S. 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 U.S. healthcare providers or payers
- Soft Skills: Strong analytical thinking, sound judgment, and ability to handle sensitive patient data in compliance with HIPAA standards
Benefits
- Above‑market compensation
- Healthcare coverage on day one for you and your dependents
- Paid time‑off with cash conversion
- Group life insurance
- Performance bonuses
Terms & conditions apply