Insurance Verification and Authorization (IV/Auth) Supervisor
On-siteTaguig, Metro Manila, Philippines
Job Summary
Supervise the Insurance Verification and Authorization team, overseeing hiring, onboarding, scheduling, and performance management while monitoring daily workflows to ensure SLAs, KPIs, and turnaround times. Create action plans for underperforming metrics, resolve escalated at-risk accounts, and implement process improvements to reduce denials and write-offs. Monitor IV/Auth audits, address denials with billing teams, and ensure compliance with payer requirements and regulatory guidelines. Coordinate with IT on system optimization, work closely with healthcare providers for accurate documentation, and provide regular education on payer policy changes. Manage departmental budget compliance, create metric scorecards, and deliver performance reports to clients.
Required Qualifications
- At least 4 years US healthcare revenue cycle experience for insurance verification and authorization functions
- At least 1+ years in healthcare supervisory role
- Bachelor's degree or equivalent in Business, Health Information Management, Healthcare Administration, or related field
- Strong knowledge of insurance verification, prior authorization, CPT/ICD-10 codes, and payer guidelines
- 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)
- 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
Desired Qualifications
- Previous experience managing hybrid/remote teams
- Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, SharePoint)
- Proficiency with Data Analytics software (Tableau, PowerBI)
- Prior experience with US healthcare providers or payers
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