Full Description

Discover your 100% YOU with MicroSourcing!

Position: Insurance Verification and Authorization (IV/Auth) Auditor

Location: Taguig

Work setup & shift: Onsite | Night shift

Sign-on bonus: 50,000*

Why join MicroSourcing?

You'll Have

Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses

A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.

Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.

Career Growth: Take advantage of opportunities for continuous learning and career advancement.

Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Our client, Huron, is a global professional services firm that collaborates with clients to put possibilities into practice by creating sound strategies, optimizing operations, accelerating digital transformation, and empowering businesses and their people to own their future. By embracing diverse perspectives, encouraging new ideas, and challenging the status quo, Huron creates sustainable results for the organizations they serve.

Your Role

The Insurance Verification and Authorization (IV/Auth) Auditor will be responsible for the auditing of insurance verification and authorization tasks to ensure performance standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams.

As An IV/Auth Auditor, You Will

IV/Auth Auditing

Be responsible for the auditing of IV/Auth specialist and/or “audit the auditors” to ensure IV/ accuracy expectations are met Perform quality checks/audits on visits worked by IV/Auth Specialist as per client SOPs. Perform calibration audits.

IV/Auth Audit Reporting

Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, share direct feedback to IV/Auth specialists and auditors on areas of opportunity, participate in client interactions and internal stakeholder meetings. Firm understanding of insurance verification and authorization processes Monitor compliance of IV/auth guidelines and ensure errors identified during audits are corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance. Conduct analysis and present summary of findings to leadership in a clear, concise, convincing, and actionable format. Immediately escalates any compliance risks or issues to leadership.

Other duties and responsibilities as assigned.

What You Need

Non-negotiables

Experience: One year of IV/Auth auditing experience

Education: Senior High School Diploma or equivalent

RCM Knowledge: Knowledge of insurance verification and authorization processes. Familiarity with HIPAA regulations.

Software Knowledge: Proficiency with 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

Ability to pay close attention to details; strong follow-up and follow-through skills Regularly makes complex decisions within the scope of the position, and is comfortable working independently 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 Safeguard patient health information in compliance with HIPAA standards

Preferred skills/expertise

Experience: At least three years of IV/Auth experience.

Education: Bachelor's in business or health field

Software Knowledge: Proficiency with Microsoft Office suite (Excel, Word, PowerPoint, Outlook, SharePoint). Proficiency with Microsoft Office suite (Excel, Word, PowerPoint, Outlook, SharePoint)

RCM Knowledge: Prior experience with US healthcare providers or payers.

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.

Our commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

At MicroSourcing, equality is not merely a slogan - it's our commitment and our way of life. Here, we don't just accept your unique authentic self—we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!

For more information, visit www.microsourcing.com

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