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MicroSourcing • Taguig, Metro Manila, Philippines
Salary: $180,000 / year
Role & seniority: Insurance Verification and Authorization (IV/Auth) Manager; senior/leadership level
Stack/tools: payer portals and eligibility/authorization tools (e.g., Availity); EMR systems (Epic, Cerner, Meditech); Microsoft Office; data analytics tools (Tableau, Power BI) preferred
Operational oversight of IV/Auth team: hiring/onboarding, scheduling, performance management; monitor workflows, SLAs, KPIs
Process improvement and compliance: reduce denials/write-offs; audits/accuracy reviews; ensure regulatory/payer guideline adherence
Collaboration and reporting: coordinate with clients, IT, billing/A/R; escalate issues; provide performance reports; mentor supervisors
5+ years US healthcare revenue cycle experience in IV/Auth; 2+ years in healthcare leadership; hybrid/remote team management
Bachelor’s degree in Business/Health Administration or related field
Strong RCM knowledge (verification, prior authorization, CPT/ICD-10, payer guidelines)
Proficiency with payer portals/eligibility tools and EMR (Epic, Cerner, Meditech)
Excellent verbal/written English; HIPAA compliance
Experience with Tableau/Power BI or other data analytics tools
Prior experience with US healthcare providers or payers
Location & work type: Taguig, Philippines; onsite; night shift
Discover your 100% YOU with MicroSourcing!
Position: Insurance Verification and Authorization (IV/Auth) Manager
Location: Taguig
Work setup & shift: Onsite | Night shift
Sign-on bonus: 180,000*
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) Manager 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 leader ensures strong team performance and adherence to regulatory guidelines and payer requirements.
As An IV/Auth Manager, You Will
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) 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
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 supervisors or 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.
What You Need
Non-negotiables
IV/Auth Experience: At least 5 years of US healthcare revenue cycle experience for insurance verification and authorization functions, 2+ years in healthcare leadership role. Previous experience managing hybrid/remote teams.
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 Stronganalytical and critical thinking skills Experience in a matrixed environment Safeguard patient health information in compliance with HIPAA standards
Preferred skills/expertise
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
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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