Verification of Benefits Supervisor

Lead Healthcare Forward with Balance and Purpose

Healthcare thrives on precision, compassion, and leadership-and so can your career. Step into a role where your expertise transforms systems that impact lives, while your time outside work remains truly yours. Here, balance isn't a promise-it's built into how we value professionals who drive meaningful change.

Job Description

As a Verification of Benefits Supervisor, you will lead daily team operations, mentor staff, and ensure compliance with quality standards. This role focuses on optimizing workflows, supporting performance improvement initiatives, and overseeing case submissions to maintain accuracy, efficiency, and regulatory alignment within the arbitration and dispute resolution process.

Job Overview

Employment type: Full-time

Shift: Night shift, Weekends Off

Work setup: Onsite, Cebu City

Exciting Perks Await:

• Day 1 HMO coverage with free dependent
• Competitive Salary Package
• Prime office location in Cebu (Conveniently accessible by PUVs, with nearby restaurants and banks)
• Fixed weekends off
• Salary Advance Program through our banking partner (Eligibility and approval subject to bank assessment. Available to account holders with minimum of 6 months company tenure.)
• Unlimited upskilling through Emapta Academy courses (Want to know more? Visit )
• Free 24/7 access to our office gyms (Ortigas and Makati) with a free physical fitness trainer
• Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more)
• Unlimited opportunities for employee referral incentives across the organization
• Standard government and Emapta benefits
• Total of 20 annual leaves to be used on your own discretion (including 5 credits convertible to cash)
• Fun engagement activities for employees
• Mentorship and exposure to global leaders and teams
• Career growth opportunities
• Diverse and supportive work environment

The Qualifications We Seek

Education and/or Experience

• High school diploma or equivalent required
• Minimum of 3 years of experience in medical billing and collections
• Minimum of 1 year of supervisory experience managing a team of more than five people

Skills/Specialized Knowledge

• Knowledge of CPT and ICD-10 codes
• Knowledge of legal and regulatory government provisions
• Understanding of HIPAA and other communications and privacy laws, and their applications
• Proficiency in Microsoft Office, especially Excel (formulas, pivot tables, filters, etc.)
• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry
• Familiarity with the independent dispute resolution process
• Proven ability in negotiation and technical writing
• Professionalism in handling internal and external communications
• Excellent verbal and written communication skills
• Knowledge of medical terminology
• Experience using MS Office applications including Word, Excel, Access, Outlook, and PowerBI

Other Requirements

• Must maintain a professional appearance
• Must be consistently punctual and reliable
• Must maintain high-speed internet that meets remote work requirements
• Must be available on weekends to handle urgent action items

Your Daily Tasks

• Promote department goals by motivating, coaching, and training team members
• Train new employees on department policies, procedures, processes, and information systems
• Plan and prioritize schedules, assign tasks, and monitor work to optimize operations
• Analyze claim reports to identify cases eligible for arbitration
• Ensure timely submission of all cases
• Ensure completion of all ineligible disputes
• Ensure timely submission of informal negotiations and briefs
• Monitor incoming requests regularly and ensure timely responses
• Evaluate staff performance and audit work to ensure compliance with expectations and processes
• Inform staff of changes in policies, procedures, systems, and regulatory requirements
• Gather and analyze departmental metrics and prepare reports for management review
• Recommend procedural and system changes to improve processes, operational quality, and efficiency (e.g., job aids, training resources, workflows)
• Collaborate with upper management to provide updates on findings and outcomes
• Actively participate in and monitor process improvement initiatives
• Coordinate with external vendors such as State Department of Insurance (DOI), No Surprises Act (NSA) personnel, and arbitrators/IDRE to resolve issues
• Maintain attendance and payroll records, and ensure timely processing of employee time-off requests
• Handle escalated issues and concerns
• Monitor urgent action items after hours and on weekends as needed
• Complete and oversee special projects
• Perform other duties as assigned

About the Client

Redefining Patient Care Through Technology and Innovation

Our client is a U.S.-based healthcare organization known for blending medical expertise with cutting-edge technology to improve patient outcomes nationwide. With a history of consistent growth and a reputation for excellence, they partner with leading institutions to streamline operations, deliver smarter care, and empower healthcare professionals. Joining their team means becoming part of a success story built on innovation, impact, and a people-first mission.

Welcome to Emapta Philippines

Join a team that values camaraderie, excellence, and growth. Recognized as one of the Top 20 Dream Companies of Filipinos in 2024, Emapta stands proudly alongside industry giants, offering stability and exciting career opportunities. Your career flourishes here with competitive compensation, international clients, and a work culture focused on collaboration and innovation. Work with global clients across industries, supported by a stable foundation and like-minded professionals passionate about making an impact. We empower your success with opportunities for personal and professional development in an inclusive environment. Apply now and be part of the #EmaptaEra