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Open nowFirst seen 3 days ago

Insurance Verification and Authorization (IV/Auth) Supervisor

MicroSourcing1,110 open roles

Where
Taguig, Metro Manila, Philippines
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Your applicationOpen nowInsurance Verification and Authorization (IV/Auth) SupervisorMicroSourcing · Taguig, Metro Manila, Philippines

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market. MicroSourcing postings stay open a median of 2 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 57.8%60 days
This job: first seen 3 days ago

MicroSourcing median: 2 days open

The posting

APPROVED SIGN ON BONUS: PHP 75,000

External Job Title: Insurance Verification and Authorization (IV/Auth) Supervisor

Capability: Healthcare

Business Unit: Huron Managed Services

Level:

Reports To: Manager, IV/Auth

Work Location: Microsourcing Office, Taguig, Philippines

Work Shift: PH Night

POSITION SUMMARY:

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

The Insurance Verification and Authorization (IV/Auth) Supervisor is responsible for the day-to-day operations and oversight of insurance verification and authorization processes to support uninterrupted patient care and optimal revenue cycle performance. This supervisor ensures strong team performance and adherence to regulatory guidelines and payer requirements.

KEY RESPONSIBILITES:

Operational Oversight:

  • Supervise and support IV/Auth team including hiring, onboarding, scheduling, and performance management
  • Monitor daily workflows to ensure SLAs and KPIs (e.g., productivity, accuracy, and turnaround time). Adjusts work assignments as needed to ensure high risk populations are addressed timely and avoid backlogs.
  • Create action plans when metrics or performance is not meeting standards
  • Responsible for resolving at risk accounts escalated from staff in accordance with client policies
  • Implement process improvements to enhance efficiency and reduce denials and write-offs
  • Ensure timely resolution of IV/Auth related escalations, edits, and billing holds
  • Monitor and ensure departmental budget compliance
  • Effective and efficient organization and planning with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members
  • May be responsible for creating or participating in the creation of client facing metric scorecards and/or dashboards

Quality & Compliance:

  • Monitor IV/Auth audits and accuracy reviews, ensuring compliance with payer requirements and regulatory guidelines
  • Address IV/Auth related denials and partner with billing and A/R teams to identify and address root causes
  • Stay current with regulatory and IV/Auth updates and disseminate guidance to staff
  • Ensure IV/Auth policies and procedures are current and reflect the most compliant/accepted practices for IV/Auth functions

Collaboration & Support:

  • Work closely with clients and other departments to ensure clean claim generation
  • Maintain escalation protocols for urgent cases and payer disputes
  • Coordinate with IT on system optimization.
  • Provide regular performance reports and participate in client meetings

Education & Training

  • Provide regular IV/auth education for team development, especially as it relates to communicating payer policy changes
  • Mentor IV/Auth specialists to support succession planning and career development

Coordinating with Healthcare Providers:

  • Work closely with physicians, nurses, and other healthcare professionals to ensure timely and accurate documentation that reflects patients’ eligibility and authorization status. Obtain clarification as appropriate

Other duties and responsibilities as assigned.

QUALIFICATIONS:

Required Qualifications:

  • IV/Auth Supervisory Experience: At least 4 years US healthcare revenue cycle experience for insurance verification and authorization functions, At least 1+ years in healthcare supervisory role. Previous experience managing hybrid/remote teams preferred.
  • Education: Bachelor’s degree or equivalent in Business, Health Information Management, Healthcare Administration, or related field
  • RCM Knowledge: Strong knowledge of insurance verification, prior authorization, CPT/ICD-10 codes, and payer guidelines.
  • Software Knowledge: Proficiency with payer portals, eligibility and authorization tools (e.g., Availity) and electronic medical records (EMR) such as Epic, Cerner, or Meditech.
  • Excellent verbal and written English communication skills and customer service skills (CEFR level of at least B2 for both verbal and written)

Soft Skills

  • Proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members
  • Ability to pay close attention to details; strong follow-up and follow-through skills
  • Proven ability to regularly make complex decisions within the scope of the position, and is comfortable working independently
  • Proven ability to collaborate with team members and client counterparts to understand business challenges, adapt implementation methodologies and approaches to ensure results align with client’s business objectives
  • Demonstrated impact through professional written and verbal communication setting clear project team direction, develop key deliverables, escalate risks, and influence key stakeholders inclusive of client and internal senior leadership
  • Team leadership experience including building talent, training, supervising, coaching/mentoring, and performance management
  • Independent judgment, discretion and decision-making abilities
  • Demonstrates teamwork and integrity in all work-related activities
  • Ability to interact with internal and external customers in a professional manner
  • Strong analytical and critical thinking skills
  • Experience in a matrixed environment
  • Safeguard patient health information in compliance with HIPAA standards
  • Knows, understands, incorporates, and demonstrates Huron’s Vision, and Values in behaviors, practices, and decisions.

Preferred Qualifications:

  • Software Knowledge: Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, SharePoint). Proficiency with Data Analytics software (Tableau, PowerBI)
  • RCM Knowledge: Prior experience with US healthcare providers or payers
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